Pleasant Prairie Medicaid providers submitted $20,203 in claims categorized under the Coronavirus Diagnostic Panel in 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 48.2% rise compared to 2023, when $13,628 was billed for the same service category.
Medicaid, a health insurance initiative operated by states and funded jointly by federal and state governments, provides coverage for low-income residents, seniors, children, and those with disabilities. The program remains one of the nation’s largest health care payers.
Since Medicaid dollars are taxpayer-funded, fluctuations in local billing data reflect how community health care resources are distributed.
The “Coronavirus Diagnostic Panel” group encompasses Medicaid-billed procedures defined by service type, following standardized HCPCS and CPT coding. Each code in this review corresponds to one service category, with code prefixes and ranges used for categorization, ensuring services are grouped for analysis without double counting and with accurate annual ranking.
Medicaid spending went up in several service categories in Pleasant Prairie, but Coronavirus Diagnostic Panel held the seventh spot among Medicaid payment totals in 2024.
Statewide in Wisconsin, the Coronavirus Diagnostic Panel category was ranked 28th for overall Medicaid payments during 2024.
Looking back five years from 2024, Medicaid spending related to the Coronavirus Diagnostic Panel group in Pleasant Prairie rose by $15,526, or 332%. Growth accelerated in select years, including notable year-on-year gains in 2022 and 2022.
Though Medicaid spending for this service category was present throughout the city, the majority was concentrated in just a few ZIP codes. In 2024, ZIP code 53158 recorded the highest amount, totaling $20,202. The top ZIP code accounted for the entirety of Medicaid spending in this category within Pleasant Prairie for the year.
Within the panel category, a small set of individual billing codes represented the bulk of Medicaid payments.
Comparing changes, the 48.2% increase in Pleasant Prairie’s Medicaid payments tied to the Coronavirus Diagnostic Panel between 2024 and 2023 outpaced the 11.5% change observed across all Medicaid claim categories citywide for the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenses combined hit roughly $871.7 billion in fiscal 2023, making up about 18% of all U.S. health spending and rising sharply from $613.5 billion in 2019, the year before the COVID-19 pandemic.
This increase, close to 40% in just a few years, was fueled primarily by greater enrollment and higher service utilization during and following the pandemic.
Recent federal budget measures under the Trump administration have put forward major changes to federal Medicaid funding and program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and introduce new policies like work requirements and increased cost-sharing, which could decrease coverage and federal funding for certain beneficiaries. These policy shifts are anticipated to move more financial responsibility to states and constrain federal Medicaid growth, while the program continues to assist millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,677 | – |
| 2022 | $25,458 | 444.3% |
| 2023 | $13,628 | -46.5% |
| 2024 | $20,202 | 48.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,137,010 | 24.9% |
| 2 | Medicine Services and Procedures | $1,099,180 | 24.1% |
| 3 | Pathology and Laboratory Procedures | $1,026,276 | 22.5% |
| 4 | National Codes Established for State Medicaid Agencies | $699,286 | 15.3% |
| 5 | Radiology Procedures | $431,078 | 9.4% |
| 6 | Surgery | $129,645 | 2.8% |
| 7 | Coronavirus Diagnostic Panel | $20,202 | 0.4% |
| 8 | Procedures / Professional Services | $14,249 | 0.3% |
| 9 | Ambulance and Other Transport Services and Supplies | $9,411 | 0.2% |
| 10 | Drugs Administered Other than Oral Method | $1,040 | <0.1% |
| 11 | Administrative, Miscellaneous and Investigational | $193 | <0.1% |
| 12 | Vision Services | $101 | <0.1% |
| 13 | Temporary Codes | $7 | <0.1% |
| 14 | Outpatient PPS | $2 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| U0002 | Covid-19 lab test non-cdc | $20,202 | 11 |
Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.
Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.
