Lilburn Medicaid COVID-19 service payments hit $33,108 in 2024, with peak years seeing 12.5% of billing

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid payments linked to services billed with COVID-19–specific HCPCS codes in Lilburn reached at least $33,108, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, a major public health insurance program managed by the states and funded by both the federal and state governments, serves low-income individuals and families, seniors, children, and people with disabilities. It represents one of the largest components of health care nationwide.

Shifts in Medicaid billing at the local level highlight how taxpayer-funded health care dollars are distributed throughout the community.

Analysts identified COVID-19–related services through HCPCS codes labeled or identified as “COVID-19” or “coronavirus” in the billing data or in reference materials. Therefore, figures reported here only account for services directly marked as COVID-related and do not include pandemic care billed under broader or other diagnostic codes.

For comparison, Dalton led the state in Medicaid payments for COVID-19 services in 2024, reporting $147,318 in claims tied to the virus.

In Lilburn, the average Medicaid payment per provider for COVID-19–coded services was $16,554, falling below Georgia’s state average of $17,922.

COVID-19–coded claims made up a noteworthy share of the increase in Medicaid spending in Lilburn during the pandemic period.

Average annual Medicaid payments in the two years prior to the onset of the pandemic in Lilburn totaled $611,627.

Centers for Medicare & Medicaid Services data shows total Medicaid spending at the federal and state level reached roughly $871.7 billion in fiscal 2023—approximately 18% of total national health care expenditures. That was an increase from about $613.5 billion in 2019, prior to the pandemic’s start.

This result marks an approximate 40% growth in Medicaid spending over just a few years, primarily driven by increased enrollment and greater use of services during and after the pandemic.

Key federal budget legislation enacted under the Trump administration introduced major proposals to decrease federal Medicaid funding and change the structure of the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade. It includes measures such as work requirements and higher cost-sharing, which could lead to decreased coverage and lower funding for certain enrollees, shifting financial responsibility to states and moderating growth in federal support as the program continues serving millions of Americans.

Medicaid Payments in Lilburn Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $33,108 -21.8% $514,366
2023 $42,345 -18.3% $1,004,583
2022 $51,822 184.7% $1,561,081
2021 $18,203 N/A $1,078,038
2020 $0 N/A $458,738
2019 $0 N/A $525,177
2018 $0 N/A $698,077
Top COVID-19–Related HCPCS Codes in Lilburn
HCPCS Code Description Medicaid Payments Claims
87811 Immunoassay $33,108 810

Note: Results reflect only HCPCS codes specifically designated for COVID-19 services. Total spending here does not represent all pandemic health care costs.

This report uses information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.



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