At least $4,535 in Medicaid payments were recorded in Lockney in 2024 for services billed under HCPCS codes specifically tied to COVID-19, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a state-administered public health insurance program funded in partnership by federal and state governments. The program supports low-income families and individuals, older adults, children, and those with disabilities, making it a key segment of the U.S. health care system.
Since Medicaid funds are taxpayer sourced, shifts in billing patterns at the community level reflect how public health resources are used locally.
This report identified COVID-19–specific services using HCPCS codes clearly noted as “COVID-19” or “coronavirus”-related within billing records or classification data. As a result, these figures only include services distinctly coded as COVID-related, excluding care potentially linked to the pandemic but billed under broader medical categories.
By way of comparison, Houston reported the highest Medicaid payments for COVID-19 services in Texas in 2024, reaching $5,684,946 in COVID-19-related claims.
Lockney General Hospital District was the sole provider submitting Medicaid claims for COVID-19–related services in the city for 2024, according to the data.
During the core years of the pandemic, Medicaid spending on COVID-19-focused services contributed notably to overall growth in Lockney’s Medicaid expenditures.
Across all remaining claim categories, total Medicaid payments in Lockney rose by $98,485 from 2020 to 2024, a 269.8% jump.
For the two years leading up to the pandemic, the annual average Medicaid payment in Lockney was $17,051.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up nearly 18% of total U.S. health expenditures, which was a sharp rise from roughly $613.5 billion in 2019 before the COVID-19 pandemic period.
This change marked a growth of around 40% in just a few years, mainly due to expanded enrollment and increased health care usage during and after the pandemic.
Recent federal budget measures enacted under the Trump administration included major proposals to decrease federal Medicaid funding and make changes to the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to reduce federal Medicaid spending by over $1 trillion over the next decade and brings new policies such as work requirements and higher cost-sharing for some recipients. These provisions are likely to shift more financial responsibility to the states and restrict the rate of federal Medicaid expansion, while the program continues supporting tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $4,535 | -73.7% | $139,527 |
| 2023 | $17,223 | 12.6% | $367,788 |
| 2022 | $15,296 | -46.4% | $361,695 |
| 2021 | $28,552 | 809.7% | $351,330 |
| 2020 | $3,139 | N/A | $39,646 |
| 2019 | $0 | N/A | $17,051 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $4,535 | 74 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Details for this story were gathered from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.





