At least $1,880 in Medicaid payments was billed in South Royalton in 2024 for services coded specifically for COVID-19, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure marks a 23.7% rise from 2023, when providers submitted $1,520 under the same codes.
Medicaid, a state-run health insurance program funded by both federal and state governments, covers low-income families and individuals, seniors, children, and people with disabilities. It remains a central part of the U.S. health care system.
Since Medicaid funding comes from taxpayers, changes in local billing levels reflect how health care resources are distributed within a community.
For this report, COVID-19–related services were counted using HCPCS codes described or categorized as “COVID-19” or “coronavirus”-related in billing entries or reference data. This means the totals only include services explicitly tagged as COVID-related and do not reflect pandemic-related care billed under broader medical codes.
In comparison, in 2024 Burlington logged the highest Medicaid payments for COVID-19 services in Vermont, with virus-related claims reaching $28,461.
Data indicates Rebecca A Foulk Md Pc was the only provider submitting Medicaid claims for COVID-19–related services in South Royalton during 2024.
The Centers for Medicare & Medicaid Services reports that combined state and federal Medicaid spending totaled approximately $871.7 billion in fiscal year 2023, which made up about 18% of all U.S. health expenditures, rising significantly from $613.5 billion in 2019, before the pandemic.
This growth—about 40% in a few years—was mainly propelled by more people enrolling and increased use of health care services during and after the pandemic.
Federal budget changes during the Trump administration have put forth major proposals to decrease federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” which became law in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, introducing measures such as work requirements and greater cost-sharing. These policies could diminish coverage and funding for certain beneficiaries, shifting more financial responsibility to states and restricting federal Medicaid growth, even with tens of millions of Americans still dependent on the program.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $1,880 | 23.7% | $73,988 |
| 2023 | $1,520 | -28.3% | $50,419 |
| 2022 | $2,120 | -82% | $22,686 |
| 2021 | $11,800 | N/A | $159,469 |
| 2020 | $0 | N/A | $197,350 |
| 2019 | $0 | N/A | $232,830 |
| 2018 | $0 | N/A | $205,636 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90480 | COVID-19 Vaccine Administration | $1,880 | 53 |
Note: Includes HCPCS codes specifically labeled for COVID-19 services; figures do not account for all pandemic-related health care spending.
Information in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.



