At least $26,660 in Medicaid payments were made in Alamo in 2024 for services billed with HCPCS codes specifically tied to COVID-19, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a public health insurance program that operates at the state level with joint funding from federal and state governments. It provides coverage for individuals and families with low incomes, as well as seniors, children, and those with disabilities, ranking among the largest sections of the U.S. health care system.
Since Medicaid funding comes from taxpayers, shifts in local billing patterns reveal how public health dollars are distributed within a community.
COVID-19–related services in this analysis were designated by HCPCS codes identified or categorized as “COVID-19” or “coronavirus”-related in billing language or reference data. Thus, these totals reflect only services explicitly marked as COVID-related in billing records and exclude pandemic-related care billed under different or broader categories.
In comparison, Albuquerque reported the highest amount of Medicaid payments for COVID-19 services in New Mexico in 2024, totaling $958,608 in related claims.
The data shows that Alamo Navajo School Board, Inc was the sole provider submitting Medicaid claims for COVID-19–labeled services in Alamo during 2024.
Medicaid payments for all other types of claims in Alamo rose by $310,920 from 2020 to 2024, which is a 30.9% increase.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of overall national health spending, a significant rise from $613.5 billion in 2019, before the COVID-19 pandemic.
This reflects an increase of nearly 40% over several years, largely attributed to both broader enrollment and greater health care use during and after the pandemic period.
Recent federal budget measures under the Trump administration have brought forward major proposals that aim to reduce federal Medicaid funding and change how the program is structured. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to decrease federal Medicaid outlays by more than $1 trillion over the next 10 years and adds provisions such as work requirements and higher cost-sharing, which could limit coverage and state funding for some enrollees. These policy changes are likely to increase the financial responsibility of states and curb federal Medicaid growth, despite the program continuing to support tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $26,660 | -77.5% | $1,344,515 |
| 2023 | $118,351 | -31.8% | $1,767,699 |
| 2022 | $173,493 | -66.6% | $1,766,339 |
| 2021 | $519,277 | 2,830% | $1,332,640 |
| 2020 | $17,723 | N/A | $1,024,658 |
| 2019 | $0 | N/A | $1,811,924 |
| 2018 | $0 | N/A | $1,878,731 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90480 | COVID-19 Vaccine Administration | $26,643 | 106 |
| 87811 | Immunoassay | $17 | 245 |
Note: Only services explicitly coded for COVID-19 are included; figures do not account for all health care related to the pandemic.
The data referenced in this story comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source information is available here.





