At least $1,112 was paid out through Medicaid in Prineville in 2024 for services billed under HCPCS codes directly tied to COVID-19, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a government health insurance program managed by states and funded by both federal and state governments, serves low-income people, older adults, children and those with disabilities, and remains a major part of the health care landscape in the United States.
Because Medicaid is funded with public tax revenues, fluctuations in billings reflect how each community’s share of public health care money is spent.
In this report, COVID-19 service payments were determined by identifying HCPCS codes marked as “COVID-19” or “coronavirus” in service descriptions or related documentation. Therefore, only services formally designated as COVID-related in the billing process are counted, and other forms of pandemic-related care billed under other codes are excluded.
To provide context, Portland had the highest volume of Medicaid payments for COVID-19 services in Oregon in 2024, with a total of $760,710 in such claims.
Records indicate that Mosaic Community Health was the sole provider in Prineville submitting COVID-19–related Medicaid claims during 2024.
In the two years before the start of the pandemic, the annual average for Medicaid payments in Prineville reached $2,730,174.
According to the Centers for Medicare & Medicaid Services, total Medicaid expenditures by federal and state governments were about $871.7 billion in fiscal year 2023. This represented nearly 18% of all national health costs and was a significant rise from $613.5 billion reported in 2019, before the arrival of COVID-19.
This adds up to a roughly 40% increase over a few years, primarily from increased enrollment and greater use of health care services during and after the main pandemic period.
Recent federal laws enacted during the Trump administration have included major plans for reducing federal Medicaid contributions and changing how the program works. The “One Big Beautiful Bill Act,” which became law in 2025, is estimated to slash federal Medicaid funding by more than $1 trillion throughout the next decade and brings in elements like work requirements and new cost-sharing, potentially restricting eligibility or benefits for certain groups. These measures are projected to force states to take on more costs and could slow the increase of future federal Medicaid support, though the program will still serve millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $1,112 | -59.8% | $2,679,405 |
| 2023 | $2,765 | -60% | $3,072,948 |
| 2022 | $6,910 | -94.8% | $2,645,871 |
| 2021 | $132,422 | 38,854.6% | $2,883,406 |
| 2020 | $340 | N/A | $4,175,140 |
| 2019 | $0 | N/A | $3,663,976 |
| 2018 | $0 | N/A | $1,796,373 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90480 | COVID-19 Vaccine Administration | $1,112 | 73 |
Note: Only HCPCS codes specifically labeled as COVID-19 are included in these figures; they do not represent the full scope of health care spending tied to the pandemic.
This article is based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.
