In 2024, Medicaid payments in Goose Creek reached at least $5,717 for services billed under HCPCS codes specifically related to COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This marks a 151.4% increase from 2023, when $2,274 in similar claims were recorded by providers using those codes.
Medicaid is a public health insurance initiative managed by the states and jointly funded by federal and state governments. It provides coverage for low-income individuals and families, seniors, children and people with disabilities, maintaining its status as a significant part of the U.S. health care landscape.
Since Medicaid is funded by taxpayers, fluctuations in local billing patterns reflect how public health dollars are utilized within a given area.
This review considered COVID-19–specific services identified by HCPCS codes labeled as “COVID-19” or “coronavirus”-related in billing data. As a result, these figures only represent services directly identified as COVID-19-related, excluding any pandemic care coded under broader descriptions.
By comparison, Columbia saw the highest Medicaid COVID-19–related payment total in South Carolina for 2024, reaching $1,102,671 in virus-associated claims.
In Goose Creek, Genesis Healthcare, Inc was the sole provider filing Medicaid claims for COVID-19–related services in 2024, according to available data.
Across all other Medicaid claim categories in Goose Creek, total payments increased by $522,739 from 2021 to 2024, a 27.2% rise overall.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending was about $871.7 billion in fiscal year 2023, representing roughly 18% of all national health expenditures. This was a significant jump from $613.5 billion in 2019, prior to the pandemic.
This nearly 40% growth over several years is attributed mainly to higher enrollment and greater service utilization during and following the pandemic.
Recent federal budget actions under the Trump administration have introduced major initiatives to reduce federal Medicaid contributions and restructure the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over the next 10 years. It also includes provisions like work requirements and more cost-sharing, which may limit coverage and funding for certain recipients. These adjustments are expected to move greater costs to the states and curb federal Medicaid growth, even as the program remains essential for millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $5,717 | 151.4% | $2,452,302 |
| 2023 | $2,274 | -88.9% | $2,097,697 |
| 2022 | $20,496 | -58.3% | $2,270,804 |
| 2021 | $49,132 | N/A | $1,972,979 |
| 2020 | $0 | N/A | $1,726,715 |
| 2019 | $0 | N/A | $2,267,454 |
| 2018 | $0 | N/A | $1,755,781 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $5,717 | 147 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Information in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data can be accessed here.

