Mishawaka Medicaid providers report $383,049 in 2024 COVID-19 billings

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid payments in Mishawaka reached no less than $383,049 for services billed with HCPCS codes designated for COVID-19, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid is a statewide public insurance plan funded in partnership by state and federal governments. Serving low-income populations, seniors, children, and people with disabilities, Medicaid remains a foundational element of the U.S. health system.

Since Medicaid is publicly funded, fluctuations in billing volumes offer a window into community health spending allocation.

Researchers identified COVID-19–related Medicaid services for this analysis using HCPCS codes labeled or classified with “COVID-19” or “coronavirus” in either their billing descriptions or associated reference data. Therefore, only services explicitly designated as COVID-related in the claims data are included, excluding those pandemic treatments billed under other or broader categorizations.

Hammond led cities in Indiana for the highest COVID-19–related Medicaid payments in 2024, posting $443,500 in claims tied to the virus for the year.

Four Mishawaka providers submitted claims for COVID-19–specified services through Medicaid in 2024. The code COVID Specific made up the largest portion, with $236,740 billed.

The average per-provider Medicaid payment for COVID-19–linked services in Mishawaka settled at $95,762, exceeding the state’s average of $17,610 for such services.

Medicaid spending in Mishawaka saw notable increases for COVID-19–labeled care during the active pandemic years.

Across all claim types aside from COVID-19–related, Mishawaka Medicaid payments increased by $6,239,896 from 2020 to 2024—a rise of 38.4%.

Before the pandemic, Mishawaka averaged $12,382,689 in Medicaid payments per year over the two previous years.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid disbursements totaled approximately $871.7 billion in fiscal 2023, making up around 18% of U.S. health expenditures—a considerable increase from about $613.5 billion in 2019, before the onset of COVID-19.

This jump of about 40% in just a few years was spurred in large part by expanded eligibility and greater service utilization surrounding the pandemic period.

Recent federal budget bills passed during the Trump administration introduced far-reaching changes to Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and implement changes including work requirements and increased beneficiary cost-sharing, potentially decreasing coverage for some groups. These reforms would likely shift financial responsibility to states and slow federal Medicaid growth, while the program remains critical for millions of Americans.

Medicaid Payments in Mishawaka Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $383,049 -56.6% $22,877,854
2023 $883,549 -45.7% $39,792,721
2022 $1,626,959 7.8% $35,346,612
2021 $1,508,635 13.6% $24,232,064
2020 $1,327,526 N/A $17,582,435
2019 $0 N/A $15,058,941
2018 $0 N/A $9,706,437
Top COVID-19–Related HCPCS Codes in Mishawaka
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $236,740 5,465
87811 Immunoassay $143,517 5,614
90480 COVID-19 Vaccine Administration $2,792 194

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

This article draws upon information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source can be found here.



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