At least $7,371 in Medicaid payments in Orangeburg during 2024 were 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, administered by states and funded together by federal and state governments, provides health insurance to low-income people, seniors, children, and individuals with disabilities. It is one of the nation’s largest health care programs.
Since Medicaid funds are sourced from taxpayers, fluctuations in local payments highlight how health care dollars are used at the community level.
This report identified services as COVID-19–related if their HCPCS codes were listed or referred to as “COVID-19” or “coronavirus” in billing or reference data. Therefore, totals represent only claims marked as COVID-19-related and do not reflect pandemic-linked care under other code descriptions.
In comparison, Columbia reported the highest Medicaid payments in South Carolina linked to COVID-19 services for 2024, reaching $1,102,671 in relevant claims.
Family Health Centers, Inc was the sole entity in Orangeburg submitting Medicaid claims for COVID-19–classified services during this period, according to the data.
Across different claim categories, total Medicaid payments increased by $9,249,019 from 2020 through 2024, equal to a 69.8% rise.
Data from the Centers for Medicare & Medicaid Services shows combined Medicaid spending from state and federal sources hit roughly $871.7 billion in fiscal year 2023—about 18% of all U.S. health expenses—up from $613.5 billion in 2019 before COVID-19.
This marks an increase of about 40%, accelerated by greater enrollment and more extensive use during and after the pandemic.
Recent federal budget measures during the Trump administration proposed notable cuts to federal Medicaid funding and program structure changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion in federal Medicaid outlays during the next 10 years. It introduces policies such as work requirements and higher cost-sharing, potentially reducing some recipients’ coverage and shifting expenses to the states even as the program continues to cover millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $7,371 | -94.6% | $22,501,363 |
| 2023 | $137,368 | -80.8% | $26,317,870 |
| 2022 | $715,560 | 115.6% | $25,140,881 |
| 2021 | $331,924 | 191.8% | $15,508,272 |
| 2020 | $113,757 | N/A | $13,358,730 |
| 2019 | $0 | N/A | $18,456,758 |
| 2018 | $0 | N/A | $20,498,612 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $7,371 | 186 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
The information presented here is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database, which is available here.
