Chiloquin saw at least $21,570 in Medicaid payments in 2024 for services identified by HCPCS codes specifically linked to COVID-19, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid serves as a government health insurance program managed at the state level and funded in partnership by federal and state governments. Covering low-income individuals, families, seniors, children, and people with disabilities, it is one of the country’s largest health care programs.
Because Medicaid spending involves taxpayer funding, fluctuations in local billing reveal how health care dollars are used within each community.
For the analysis, services related to COVID-19 were determined through HCPCS codes marked or designated with descriptions such as “COVID-19” or “coronavirus.” As a result, figures are limited to services directly tagged as COVID-19 in the billing system and do not include broader types of pandemic response billed with other codes.
As a point of reference, Portland documented the highest Medicaid spending on COVID-19 services in Oregon during 2024, with $760,710 in claims tied to virus-related codes.
Klamath Tribal Health & Family Services was identified as the sole provider submitting COVID-19–specific Medicaid claims in Chiloquin for 2024, records indicate.
Centers for Medicare & Medicaid Services data shows federal and state Medicaid expenditures totaled about $871.7 billion in 2023, accounting for almost 18% of nationwide health expenses. This reflects a significant increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth amounts to roughly 40% over several years, primarily due to enrollment increases and greater program use associated with the pandemic and its aftermath.
Recent federal budget changes passed under the Trump administration include major plans to decrease federal Medicaid support and revise the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid spending by over $1 trillion in the next ten years. Provisions introduce items like work requirements and higher cost-sharing, which could impact coverage and financial support for certain recipients; these adjustments are intended to transfer more costs to individual states and restrict future federal Medicaid growth, even as the program remains a resource for millions.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $21,570 | N/A | $646,995 |
| 2023 | $0 | -100% | $1,057,157 |
| 2022 | $28,154 | 157.2% | $1,531,947 |
| 2021 | $10,945 | N/A | $1,266,662 |
| 2020 | $0 | N/A | $1,346,817 |
| 2019 | $0 | N/A | $1,385,870 |
| 2018 | $0 | N/A | $1,493,344 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90480 | COVID-19 Vaccine Administration | $21,570 | 30 |
Note: Analysis considers only HCPCS codes explicitly identified for COVID-19 services; totals do not encompass the entirety of health care costs tied to the pandemic.
This article’s data source is the U.S. Department of Health and Human Services Medicaid Provider Spending database, accessible here.

