At least $15,171 in Medicaid payments were made in Greenville in 2024 for COVID-19–specific services billed under relevant HCPCS codes, as shown by figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a public health insurance initiative operated by states and funded by both federal and state governments, serves low-income individuals and families, children, seniors, and people with disabilities. It remains one of the largest healthcare programs in the U.S.
With Medicaid dollars coming from taxpayers, shifts in the amount billed locally reflect how public funds for healthcare are distributed and used in specific areas.
Researchers in this analysis identified COVID-19–related services through HCPCS codes categorized as “COVID-19” or “coronavirus”-related in bill descriptions or supporting datasets. These totals include only services directly tagged as COVID-related, omitting pandemic care billed under codes with different or broader labeling.
By comparison, Houston saw the highest Medicaid COVID-19–related payments in Texas in 2024 with $5,684,946 in such claims.
The typical Medicaid COVID-19–related payment per provider in Greenville was $3,793—well below the Texas average of $40,722.
COVID-19–specific service claims contributed noticeably to Greenville’s rise in Medicaid expenditures during the pandemic period.
Total payments for all other claim categories rose by $8,839,362 between 2020 and 2024, marking a 219% increase.
In the two years before the pandemic emerged, annual Medicaid payments in Greenville averaged $1,436,488.
Centres for Medicare & Medicaid Services reported that nationwide Medicaid spending by federal and state sources reached about $871.7 billion in fiscal 2023. This accounted for around 18% of all national health expenditures, a sharp increase from about $613.5 billion in 2019, before the pandemic started.
This jump indicated about 40% growth over several years, mainly as a result of increased enrollment and greater service usage during and after the pandemic period.
Recent federal budget measures passed during the Trump administration introduced substantial proposals to cut federal Medicaid funding and modify the program structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over the next decade. It features initiatives such as work requirements and heightened cost-sharing, which could restrict benefits and federal aid for some recipients. These policy changes would likely assign more Medicaid cost burden to states while constraining federal support, even as the program covers tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $15,171 | -88.1% | $12,890,443 |
| 2023 | $128,009 | -57.9% | $17,580,875 |
| 2022 | $303,829 | -22.8% | $18,922,863 |
| 2021 | $393,560 | 441.9% | $16,196,775 |
| 2020 | $72,622 | N/A | $4,108,532 |
| 2019 | $0 | N/A | $1,428,961 |
| 2018 | $0 | N/A | $1,444,014 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $15,171 | 1,985 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
This article’s data source is the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can access source data here.
