At least $27,937 in Medicaid payments went to COVID-19–related services in Southfield during 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a government health insurance program, managed by states and funded by a partnership of federal and state governments. It provides coverage to people with low incomes, seniors, children, and individuals with disabilities, and is one of the key pillars of the U.S. health care system.
Because taxpayer dollars finance Medicaid, trends in billing illustrate how communities allocate funding for local health care services.
This analysis considered COVID-19 claims using HCPCS codes specifically categorized as “COVID-19” or “coronavirus”-related in official billing records. As a result, counts only reflect services distinctly marked as COVID-19, not others related to the pandemic that may be listed under separate or broader codes.
Meanwhile, Detroit reported the state’s highest Medicaid payments linked to COVID-19 in 2024, reaching $432,564 for virus-related care.
Eight Southfield providers submitted Medicaid claims for COVID-19–related services during 2024. The code labeled COVID Specific comprised the largest total, with $15,597 in billings.
Average Medicaid payment per provider for COVID-19 in Southfield was $3,492, below Michigan’s statewide average of $11,005.
Total payments for all other Medicaid claim categories increased by $75,257,947 between 2020 and 2024, a rise of 50.3%.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled approximately $871.7 billion in fiscal 2023, or about 18% of total U.S. health expenditures, up from roughly $613.5 billion in 2019, before the COVID-19 outbreak.
This increase equals about 40% over several years and is attributed primarily to increased enrollment and service use during and following the pandemic.
Recent federal budget plans enacted during the Trump administration included measures to cut funding and restructure Medicaid. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over a decade, with provisions such as work requirements and added cost-sharing that could lead to decreased benefits for some recipients. These changes would likely transfer greater cost responsibility to states and slow the growth of federal support, despite the program’s coverage for tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $27,937 | -89.1% | $224,825,324 |
| 2023 | $256,777 | -90.5% | $225,157,598 |
| 2022 | $2,701,012 | -48.1% | $209,849,675 |
| 2021 | $5,204,162 | 293.2% | $188,375,176 |
| 2020 | $1,323,596 | N/A | $150,863,036 |
| 2019 | $0 | N/A | $230,287,513 |
| 2018 | $0 | N/A | $124,474,947 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $15,597 | 704 |
| 87811 | Immunoassay | $8,302 | 282 |
| 90480 | COVID-19 Vaccine Administration | $4,038 | 96 |
| M0201 | COVID-19 Vaccine Administration | $0 | 27 |
Note: Includes only HCPCS codes with explicit COVID-19 labeling; totals do not encompass every pandemic-related medical expense.
The data referenced in this article are from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.
