In 2024, Medicaid payments for services billed with HCPCS codes specifically linked to COVID-19 in Vestavia Hills totaled at least $1,593, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marks a 223.8% increase over 2023, when providers reported $492 in claims using those same codes.
Medicaid operates as a state-managed public health insurance program, financed in partnership by federal and state governments. It provides coverage for low-income populations, including families, older adults, children, and individuals with disabilities, comprising a significant share of the national health care system.
Because Medicaid relies on taxpayer funding, shifts in local billing help illustrate how public health resources are distributed in communities.
This analysis identified COVID-19–specific services using HCPCS codes that were labeled or classified as “COVID-19” or “coronavirus” related in the billing data or corresponding descriptions. The reported figures include only services directly designated as COVID-19 in claims data, excluding any pandemic-related care billed under more general codes.
For comparison, Birmingham reported the highest Medicaid payments in Alabama for COVID-19–related services in 2024, with claims totaling $1,029,178.
The data indicates that Your Kids Urgent Care Alabama was the sole provider in Vestavia Hills submitting Medicaid COVID-19–related claims during 2024.
During the pandemic period, Medicaid spending in Vestavia Hills saw a significant share attributed to COVID-19–dedicated services.
Total Medicaid disbursements for all other claim types rose by $213,980 from 2020 to 2024, an increase of 97.2%.
In the two years before the pandemic, Vestavia Hills recorded an average annual Medicaid payment of $155,468.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures were about $871.7 billion in fiscal year 2023, representing approximately 18% of total U.S. health care spending, up significantly from nearly $613.5 billion in 2019, prior to the pandemic.
This rise equates to roughly 40% growth within a few years, primarily due to higher enrollment and usage during and after the pandemic.
Recent federal budget actions during the Trump administration have brought forward major proposals to lower federal Medicaid spending and reform the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to slash more than $1 trillion from federal Medicaid funding over 10 years, including new work requirements and increased cost sharing that could impact coverage and limit benefits for some participants. These modifications are expected to pass more financial responsibility to states and limit the expansion of federal Medicaid resources, even as the program remains vital for tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $1,593 | 223.5% | $435,754 |
| 2023 | $492 | -98% | $419,860 |
| 2022 | $24,429 | 2.2% | $380,194 |
| 2021 | $23,893 | 4,006.8% | $322,996 |
| 2020 | $582 | N/A | $220,763 |
| 2019 | $0 | N/A | $163,519 |
| 2018 | $0 | N/A | $147,417 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $1,593 | 63 |
Note: Includes exclusively HCPCS codes coded for COVID-19 services; figures do not reflect all pandemic-related medical expenditures.
The information presented in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.

