At least $14,191 in Medicaid payments were made in Leavenworth in 2024 for services billed with HCPCS codes specifically designated for COVID-19, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a public health coverage program managed by states and jointly financed by the federal and state governments. The program provides benefits to low-income people and families, older adults, children, and those with disabilities, positioning it as a key component of the U.S. health system.
Since Medicaid is taxpayer funded, shifts in local billing volumes illustrate how public health care resources are distributed in specific communities.
This analysis identifies COVID-19–related services using HCPCS codes carrying “COVID-19” or “coronavirus” in their billing description or designated in the reference data. The totals are limited to services directly coded as COVID-related and do not reflect pandemic care billed under other categories or broader codes.
To provide perspective, Seattle had the highest total for Medicaid payments involving COVID-19 services in Washington in 2024, with $461,706 claimed.
Records indicate Chelan County Public Hospital District No. 1 was the only provider to file Medicaid claims for COVID-19–coded services in Leavenworth in 2024.
During the pandemic, spending on COVID-19–specific services was a major factor in Medicaid payment increases in Leavenworth.
Total Medicaid payments in all other categories rose by $908,990 from 2020 to 2024, which marks an 82.3% increase.
In the two years prior to the pandemic, Leavenworth’s average yearly Medicaid payments were $1,148,340.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled approximately $871.7 billion in fiscal year 2023. This amount represented around 18% of all national health expenditures, rising significantly from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase of about 40% over several years stemmed largely from expanded enrollment and greater usage during and following the pandemic period.
Recent federal budget laws under the Trump administration introduced major plans to limit federal Medicaid spending and modify the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid funding by more than $1 trillion over 10 years. The legislation also brings requirements such as work mandates and increased cost-sharing, potentially reducing both coverage and funding for some recipients. As a result, states are likely to bear more costs, and future federal support for Medicaid may not keep pace with the program’s growth, even as it continues to insure tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $14,191 | -54.2% | $2,027,748 |
| 2023 | $30,975 | -60.3% | $2,211,346 |
| 2022 | $77,963 | -31.1% | $2,065,864 |
| 2021 | $113,222 | 59.3% | $1,496,250 |
| 2020 | $71,085 | N/A | $1,175,650 |
| 2019 | $0 | N/A | $1,237,920 |
| 2018 | $0 | N/A | $1,058,759 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $14,191 | 122 |
Note: This includes only HCPCS codes specifically designated for COVID-19 services, so totals may not represent the full scope of pandemic-related health care costs.
The data for this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source material can be accessed here.


