Greenfield saw at least $17,970 in Medicaid payments in 2024 for services billed under HCPCS codes directly related to COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.
Medicaid is a state-administered public health insurance program funded by federal and state governments together. Designed to support low-income individuals and families, seniors, children and people with disabilities, it remains one of the largest components of the U.S. health care system.
Because Medicaid payments come from taxpayer funding, shifts in local billing indicate how health care resources are distributed in specific communities.
For this analysis, COVID-19–specific services were tracked using HCPCS codes described or categorized as “COVID-19” or “coronavirus”-related in reference or billing data, meaning that only services explicitly labeled as COVID-related were counted, while other care related to the pandemic but billed under broader medical codes are not included.
Marion led among Ohio locations for Medicaid payments linked to COVID-19 in 2024, totaling $10,818,404 in virus-related claims for that year.
In Greenfield, two providers filed Medicaid claims for COVID-19–related services in 2024. The most billed code was COVID Specific, which represented $17,970 in payments.
For perspective, Greenfield’s average Medicaid payment per provider for COVID-19–related services stood at $8,985, which is below the state’s average of $119,792.
COVID-19–specific services made up a notable part of the growth in Medicaid spending in Greenfield during peak pandemic years.
Between 2021 and 2024, Medicaid payments for all other claim types increased by $3,523,928—an increase of 353.5%.
In the two years prior to the pandemic, annual average Medicaid payments in Greenfield were $646,946.
According to the Centers for Medicare & Medicaid Services, state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023, about 18% of total national health costs. That’s up from $613.5 billion in 2019, before the COVID-19 pandemic began.
This surge represents a roughly 40% increase in a few years, which largely stemmed from greater enrollment and higher service use during and following the pandemic period.
Recent federal budget decisions under the Trump administration put forward major proposals for reducing federal Medicaid funds and restructuring the program. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, is estimated to reduce federal Medicaid spending by over $1 trillion over 10 years, implementing new work requirements and greater cost-sharing, positioning some beneficiaries to experience less coverage and funding. These policy adjustments are likely to shift additional costs onto states and slow growth in federal Medicaid spending, despite the program’s continued coverage of tens of millions of people nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $17,970 | -33.1% | $4,538,775 |
| 2023 | $26,843 | -30.5% | $4,195,873 |
| 2022 | $38,647 | 27.4% | $1,977,914 |
| 2021 | $30,344 | N/A | $1,027,221 |
| 2020 | $0 | N/A | $782,084 |
| 2019 | $0 | N/A | $708,923 |
| 2018 | $0 | N/A | $584,969 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $17,728 | 405 |
| U0002 | COVID Specific | $241 | 854 |
| 87811 | Immunoassay | $0 | 30 |
Note: Includes only HCPCS codes expressly labeled for COVID-19 services; totals do not capture all health care spending related to the pandemic.
Data for this report came from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Readers can find the original source here.

