Tillamook’s Medicaid claims for COVID-19 services reach $738 in 2024

Tillamook saw at least $738 in Medicaid payments for services marked with COVID-19–related HCPCS codes in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, one of the largest components of the U.S. health care system, is a public health insurance program managed by states and funded by both state and federal governments. It serves low-income people, children, seniors and individuals with disabilities.

Since Medicaid spending is funded by taxpayers, variations in local billing can reflect how a community utilizes public health care resources.

For this report, COVID-19–related services are those billed under HCPCS codes described or classified as “COVID-19” or “coronavirus” in billing references. The totals cover only claims clearly labeled as COVID-related and do not include broader health services that might also be attributable to the pandemic but coded differently.

In comparison, Portland registered the highest amount of Medicaid payments for COVID-19–related services within Oregon in 2024, with $760,710 in virus-specific claims.

Records show County Of Tillamook was the sole Medicaid provider filing COVID-19–related claims in Tillamook city during 2024.

COVID-19–identified services drove much of the increase in Medicaid spending in Tillamook during the pandemic years.

Non-COVID Medicaid claims in other categories increased by $1,118,030 from 2020 to 2024, representing a 32.1% rise.

Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid outlays totaled about $871.7 billion in fiscal year 2023, around 18% of national health spending. That’s a jump from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This marks about 40% growth over several years, fueled by expanded enrollment and greater utilization during and after the pandemic.

Recent federal budget laws under the Trump administration introduced major proposed reductions to federal Medicaid funding and structural changes. The “One Big Beautiful Bill Act,” passed in 2025, is expected to slash federal Medicaid funding by over $1 trillion over 10 years and includes measures such as work requirements and higher cost-sharing for some recipients. The law is anticipated to place more funding responsibility on states and limit increases in the federal share, even as the program serves millions across the U.S.

Note: These figures include only HCPCS codes expressly identified as COVID-19 services; totals exclude other possible forms of pandemic-related health care spending.

This article is based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.