At least $28,944 in Medicaid spending in Luling during 2024 was for services billed under HCPCS codes directly linked to COVID-19, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, which is a public insurance program administered by states with joint funding from both federal and state governments, provides coverage to low-income individuals and families, children, seniors and people with disabilities. This makes Medicaid a key component of the U.S. health care system.
Because taxpayer funds support Medicaid, shifts in local billing trends reflect how government health care dollars are distributed regionally.
For this report, COVID-19–related payments include only those services with HCPCS codes designated as “COVID-19” or “coronavirus” in billing details or source datasets. Consequently, the reported amounts cover solely services explicitly labeled as COVID-19 and may exclude other pandemic-period care under broadly classified codes.
In comparison, in 2024 New Orleans saw the highest COVID-19–related Medicaid claim total in Louisiana at $1,432,965.
Records indicate that Hospital Service Dist. No. 1 Of The Parish Of St. Charles, State Of La was the lone Luling-based provider who filed COVID-19–related Medicaid claims during 2024.
COVID-19–designated services made up a significant share of the increased Medicaid spending seen in Luling during the main pandemic years.
Across all other claim types, total Medicaid payments in Luling rose by $1,157,887 between 2020 and 2024—a 63.4% increase.
The Centers for Medicare & Medicaid Services report that combined federal and state Medicaid expenditures rose to around $871.7 billion for fiscal year 2023, accounting for approximately 18% of national health care spending, a steep increase from $613.5 billion in 2019 before COVID-19.
This shift equals about 40% growth in several years, stemming primarily from expanded enrollment and greater utilization tied to the pandemic timeline.
Recent federal budget actions under the Trump administration have included major proposals to shrink federal Medicaid contributions and alter its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut federal Medicaid outlays by more than $1 trillion over the next decade, instituting policies like work requirements and cost-sharing, which may limit benefits and funding for certain recipients. These measures would likely lead to increased financial responsibility for states while limiting federal Medicaid spending growth, despite ongoing service to millions.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $28,944 | -39.5% | $3,014,327 |
| 2023 | $47,848 | -33.3% | $4,542,013 |
| 2022 | $71,695 | 70.7% | $3,573,398 |
| 2021 | $42,007 | 1,192.4% | $2,765,939 |
| 2020 | $3,250 | N/A | $1,830,746 |
| 2019 | $0 | N/A | $2,510,449 |
| 2018 | $0 | N/A | $2,765,436 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $28,944 | 878 |
Note: Figures reflect only HCPCS codes clearly labeled for COVID-19 services; totals do not account for all pandemic-phase health expenditures.
Information in this story comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original source data is available here.


