Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show that Medicaid payments for COVID-19–related services reached at least $10,549 in Osage Beach in 2024. This amount marks a 67.9% rise from the prior year, when providers billed $6,282 using the same medical codes.
Medicaid is a state-run health coverage program funded through both federal and state governments. It serves low-income residents, families, older adults, children and people with disabilities, making it a core part of the national health infrastructure.
Since Medicaid funding is sourced from taxpayers, shifts in local billing patterns indicate how public health care funds are distributed within an area.
For this review, COVID-19 services were identified using HCPCS codes listed or described as “COVID-19” or “coronavirus” related in billing records or classification sources. Therefore, these figures capture only services explicitly denoted as COVID-related in claims data and exclude pandemic care potentially filed under broader or unrelated codes.
By comparison, Fenton recorded the largest total in Medicaid payments for COVID-19 services within Missouri in 2024, at $361,948 in virus-specific claims.
Records show Lake Regional Health System was the sole provider entering Medicaid claims for COVID-19–related services in Osage Beach in 2024.
The Centers for Medicare & Medicaid Services reports federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023—about 18% of total national health spending—and has grown significantly from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This growth amounts to nearly 40% in a few years, largely due to elevated enrollment and greater use of services during and after COVID-19.
Recent federal budget actions under the Trump administration have put forth substantial plans to decrease Medicaid funding and alter the structure of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and brings new policies like work requirements and higher cost-sharing, which could impact some recipients’ coverage and funding. These adjustments may require states to shoulder a greater share of costs and are likely to limit federal Medicaid growth, although the program continues serving tens of millions of people nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $10,549 | 67.9% | $3,431,024 |
| 2023 | $6,282 | -85.4% | $5,230,177 |
| 2022 | $42,963 | -47% | $4,471,643 |
| 2021 | $81,025 | 256.2% | $2,965,825 |
| 2020 | $22,745 | N/A | $3,835,758 |
| 2019 | $0 | N/A | $6,473,592 |
| 2018 | $0 | N/A | $10,103,697 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $10,364 | 564 |
| 87635 | COVID Specific | $185 | 12 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Details in this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data are available here.



