In 2024, Medicaid spending in Littlefield included at least $4,013 for COVID-19 services billed with HCPCS codes specifically linked to the virus, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database.
As a jointly funded state and federal program, Medicaid covers low-income people, the elderly, children, and people with disabilities, making it a cornerstone of the U.S. health care system.
Medicaid spending—sourced from public funds—offers insights into how health care costs are distributed within local communities.
Researchers identified COVID-19–specific services using HCPCS codes marked as “COVID-19” or “coronavirus” in billing descriptors or source data. This analysis includes only those services explicitly classified as COVID-19; care for pandemic-related issues billed under other categories is not reflected.
Elsewhere in Texas, Houston reported the most Medicaid dollars spent on COVID-19 services in 2024, at $5,684,946 in associated claims.
For further context, the average provider in Littlefield received $2,006 in Medicaid payments for COVID-19 services, which is lower than the Texas average of $40,722.
During pandemic-affected years, COVID-19–focused claims contributed significantly to overall Medicaid growth in Littlefield.
Total Medicaid payments for all other claim types in Littlefield went up by $347,722 from 2020 to 2024, an increase of 179.9%.
The period before the pandemic saw Littlefield’s average annual Medicaid payments at $98,031 over those two years.
According to the Centers for Medicare & Medicaid Services, combined federal and state funding for Medicaid reached around $871.7 billion in fiscal year 2023, representing about 18% of all national health spending, up significantly from $613.5 billion in 2019, prior to the COVID-19 emergency.
That marks nearly 40% growth in just a few years, largely due to wider enrollment and increased usage during and after the pandemic.
Recent federal budget actions under the Trump administration included substantial efforts to reduce the federal role in Medicaid. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to decrease federal Medicaid funding by more than $1 trillion over 10 years and adds policies such as work requirements and greater cost-sharing, which may restrict coverage and shrink funding for some recipients. These changes are expected to push greater responsibility onto states for Medicaid costs and limit federal funding growth, despite the program’s substantial reach across the U.S.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $4,013 | -93.9% | $545,057 |
| 2023 | $66,095 | -34.6% | $988,234 |
| 2022 | $101,052 | 14.2% | $1,076,081 |
| 2021 | $88,459 | 601% | $1,002,538 |
| 2020 | $12,619 | N/A | $205,941 |
| 2019 | $0 | N/A | $108,394 |
| 2018 | $0 | N/A | $87,668 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $4,013 | 120 |
Note: Data includes only HCPCS codes specifically identified with COVID-19; totals do not reflect all pandemic-related health expenditures.
This report sources information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Visit the source data here.







