In 2024, Medicaid-related spending in Round Rock reached a minimum of $19,192 for services identified under HCPCS codes specifically related to COVID-19, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a public health program operated by each state with financing from both the federal and state governments. It serves low-income families and individuals, children, seniors and those with disabilities, positioning it as a major component of American health care.
Because Medicaid funding is generated by taxpayers, changes to local billing levels reveal how community public health budgets are spent.
COVID-19–related services in this analysis were determined through HCPCS codes marked as “COVID-19” or “coronavirus” in service descriptions or reference information. Therefore, only services clearly identified as COVID-related in the data are included, not those that may be billed under more generic or alternative medical codes.
To compare, Houston saw the highest Medicaid total for COVID-19-based care services in Texas for 2024, with $5,684,946 in claims for virus-related treatments.
Six Round Rock Medicaid providers filed claims attributed to COVID-19 services in 2024. Key among the codes billed was COVID Specific, making up $15,881 of the total.
On average, a Medicaid provider in Round Rock billed $3,199 for COVID-19–related care, which is below the Texas-wide average of $40,722.
During the pandemic, COVID-19-designated services contributed significantly to Round Rock’s Medicaid spending increases.
Total Medicaid funding for all other claim categories climbed by $33,508,519 from 2020 to 2024—a 253.1% rise.
Before the pandemic, the annual average for Medicaid payments in Round Rock was $5,943,376 during the two years prior.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenses reached about $871.7 billion in fiscal year 2023, making up approximately 18% of all U.S. health expenditures, compared with $613.5 billion in 2019, before the impact of COVID-19.
This change reflects Medicaid growth of close to 40% within several years, primarily due to increased enrollment and greater demand for services as a result of the pandemic.
Recent federal budget measures under the Trump administration have included key initiatives to decrease federal Medicaid outlays and to revamp program structures. The “One Big Beautiful Bill Act,” approved in 2025, aims to reduce federal Medicaid spending by over $1 trillion over 10 years and adds elements such as work requirements and higher cost-sharing that could limit both coverage and funding for some participants. These adjustments are anticipated to place more responsibility on state budgets while curbing federal Medicaid growth, as the program continues to reach millions across the country.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $19,192 | -54.4% | $46,766,844 |
| 2023 | $42,106 | -99.7% | $63,296,703 |
| 2022 | $13,978,697 | 97.9% | $80,299,599 |
| 2021 | $7,063,831 | 5,669.2% | $64,374,881 |
| 2020 | $122,441 | N/A | $13,361,574 |
| 2019 | $0 | N/A | $5,431,708 |
| 2018 | $0 | N/A | $6,455,045 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $12,981 | 313 |
| 90480 | COVID-19 Vaccine Administration | $3,312 | 189 |
| U0002 | COVID Specific | $2,900 | 71 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
The information in this report is based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. To view the raw data, click here.
