A minimum of $1,851 in Medicaid payments for 2024 was directed to COVID-19-related services in Garwood, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database, with billing tied to HCPCS codes specifically identified as coronavirus-related.
Medicaid is a state-managed, federally and state-funded public health insurance program. The program provides coverage for low-income people and families, seniors, children, and individuals with disabilities, and is a major segment of the U.S. health care system. More detail is available from the Commonwealth Fund.
Given that Medicaid payments are sourced from taxpayers, shifts in billing in a specific locality reflect how public health expenditures are distributed within that area.
For this review, only HCPCS codes tagged or identified as “COVID-19” or “coronavirus”-related in billing or reference data were included. Therefore, reported figures account solely for services specifically billed as COVID-related and may not include pandemic care coded differently.
For context, Clifton reported the highest Medicaid payout for COVID-19 services among New Jersey municipalities in 2024, totaling $1,725,516 in virus-linked claims.
Union County Health Care Associates LLC was the only provider submitting Medicaid claims for COVID-19-related services in Garwood during 2024, the data shows.
Amid the pandemic, COVID-19-specific services contributed to the rise in Garwood’s Medicaid spending.
Medicaid reimbursements across other claim types increased by $3,298,426 from 2020 to 2024, a jump of 675.5%.
In the two years before the pandemic, Garwood’s average annual Medicaid payments were $440,517.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending rose to approximately $871.7 billion during fiscal year 2023. That amount represented about 18% of overall U.S. health expenditures, a sharp increase from $613.5 billion in 2019, before the pandemic began.
This marks an approximate 40% rise in a few years, largely attributed to expanded Medicaid rolls and greater use of services during the pandemic and after.
Federal budget legislation enacted under the Trump administration included significant measures to scale back federal Medicaid contributions and revamp the program. As an example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion during the next 10 years by introducing work requirements and raising cost-sharing, changes that could affect coverage and funding for some recipients. The expected result is increased financial responsibility for states and restrictions on federal Medicaid funding growth, though the program will continue to cover millions across the country.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $1,851 | -71.2% | $3,788,565 |
| 2023 | $6,417 | -94.1% | $4,735,403 |
| 2022 | $108,365 | 42.1% | $4,237,530 |
| 2021 | $76,261 | 163.7% | $918,354 |
| 2020 | $28,919 | N/A | $517,207 |
| 2019 | $0 | N/A | $405,728 |
| 2018 | $0 | N/A | $475,307 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $1,851 | 71 |
Note: Includes only HCPCS codes explicitly flagged for COVID-19 services; figures do not encompass all pandemic medical expenditures.
This report relies on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source is accessible here.



