In 2024, Medicaid claims in Friday Harbor for services identified by COVID-19–specific HCPCS codes totaled at least $4,697, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a public health insurance program managed by the states with joint federal and state funding, supports low-income individuals, seniors, children, and those with disabilities. It is among the largest health care programs in the U.S. system. More details on Medicaid financing can be found at Commonwealth Fund.
Since Medicaid is taxpayer-funded, shifts in local billing reflect how public health care funding is utilized within Friday Harbor.
This analysis identified COVID-19 care based on HCPCS codes tagged as “COVID-19” or “coronavirus” in billing data or reference materials. Thus, the reported totals include only those services directly labeled in billing submitted to Medicaid, potentially excluding pandemic care recorded under broader codes.
To put the figures in perspective, Seattle led Washington in Medicaid payments for COVID-19–related services in 2024, with virus-specific claims totaling $461,706.
Records show Peacehealth was the sole provider to file Medicaid claims linked to COVID-19 services in Friday Harbor during 2024.
For the two years prior to the pandemic, average yearly Medicaid payments in Friday Harbor were $256,120.
According to the Centers for Medicare & Medicaid Services, Medicaid expenditures from federal and state governments hit roughly $871.7 billion in fiscal 2023, making up about 18% of all U.S. health spending—a significant increase from approximately $613.5 billion in 2019 before the pandemic.
This growth, around 40% in a few years, has come mainly from expanded enrollment and increased use during and after the pandemic era.
Recent federal legislation following the Trump administration, including the One Big Beautiful Bill Act signed into law in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over ten years. The law also introduces new work and cost-sharing requirements that could limit coverage and funding for certain groups, shifting more responsibility and costs to states even as tens of millions continue to rely on Medicaid.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $4,697 | -61.4% | $194,021 |
| 2023 | $12,169 | -41.1% | $331,505 |
| 2022 | $20,653 | 104.2% | $344,986 |
| 2021 | $10,112 | -19.1% | $364,978 |
| 2020 | $12,502 | N/A | $226,087 |
| 2019 | $0 | N/A | $261,364 |
| 2018 | $0 | N/A | $250,877 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $4,697 | 127 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Data was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data set is available here.


