Lake Geneva Medicaid claims for COVID-19 services reached $27,329 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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At least $27,329 was paid out by Medicaid in Lake Geneva in 2024 for services billed under HCPCS codes directly tied to COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.

Medicaid, which is administered by states and financed jointly by federal and state governments, covers people and families with low incomes, seniors, children, and those with disabilities. It is among the largest components of the U.S. health care system.

Since Medicaid is taxpayer-funded, fluctuations in billing levels at the local level illustrate how health care dollars are distributed within a community.

For this report, COVID-19–related services were determined by HCPCS codes designated as “COVID-19” or “coronavirus”-related in billing records or supporting data. Therefore, the statistics represent only services explicitly tagged as COVID-related in the data and exclude other pandemic-related care billed under broader or alternative codes.

In comparison, Milwaukee saw the state’s highest total for Medicaid payments related to COVID-19 services in 2024, with $561,957 in claims associated with the virus.

During 2024, Mercy Health System Corporation was the sole provider in Lake Geneva submitting Medicaid claims for services associated with COVID-19.

COVID-19–specific services contributed significantly to the increase in Medicaid spending in Lake Geneva during the pandemic period.

Across all other claim categories, Medicaid payments rose by $228,436 from 2020 to 2024, reflecting a 13.5% growth.

Between the two years prior to the pandemic, the average annual amount paid by Medicaid in Lake Geneva was $1,785,439.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023, amounting to about 18% of national health expenditures. This is an increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

The growth marks about a 40% increase in just a few years, mainly due to expanded program enrollment and greater utilization during and following the pandemic.

Federal budget measures during the Trump administration included significant proposals targeting reductions in Medicaid funding and altering the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is set to cut over $1 trillion in federal Medicaid funds over the next 10 years and implements measures like work requirements and higher cost-sharing, which could decrease coverage and financial support for some enrollees. These adjustments are projected to shift more costs to the states while curbing the growth of federal Medicaid assistance, even as millions continue to rely on the program.

Medicaid Payments in Lake Geneva Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $27,329 -29% $1,948,578
2023 $38,494 -59.9% $2,729,274
2022 $95,921 -43.5% $2,769,362
2021 $169,648 388.1% $2,434,583
2020 $34,753 N/A $1,727,567
2019 $0 N/A $1,777,846
2018 $0 N/A $1,793,032
Top COVID-19–Related HCPCS Codes in Lake Geneva
HCPCS Code Description Medicaid Payments Claims
87811 Immunoassay $27,329 895

Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.

This article’s information came from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.



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