At least $27,937 in Medicaid payments were made in Southfield in 2024 for services using HCPCS codes specifically linked to COVID-19, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a government health insurance initiative managed by states and funded in collaboration between federal and state governments, offers coverage to low-income families, seniors, children, and individuals with disabilities. It represents a significant component of the U.S. health care system.
Tax dollars fund Medicaid, so variations in local claim activity reflect how public health sources are allocated within communities.
For this report, COVID-19–related procedures were determined through HCPCS codes listed as “COVID-19” or “coronavirus” in billing records or guidance documents. These numbers only address procedures expressly identified as COVID-19–related in the dataset, and do not reflect all care that may have been generated by the pandemic billed under alternate classifications.
In comparison, Detroit posted the highest Medicaid payments for COVID-19-specific services in Michigan in 2024, with $432,564 in related reimbursement.
Eight Southfield providers billed Medicaid for pandemic-related services in 2024. COVID Specific was the dominant code, representing $15,597 of claims.
On average, Medicaid payments for COVID-19–related claims per provider in Southfield came to $3,492—noticeably lower than Michigan’s average of $11,005 per provider.
Overall, Medicaid claims in other categories grew by $75,257,947 from 2020 through 2024, reflecting a 50.3% uptick.
Centres for Medicare & Medicaid Services data show that total Medicaid expenditures reached about $871.7 billion in the 2023 fiscal year, amounting to around 18% of U.S. health spending—up from about $613.5 billion in 2019 before the pandemic.
This growth marks about a 40% increase over a few years, with drivers including increased enrollment and utilization during and following the pandemic.
Recent legislative changes implemented by the Trump administration have introduced significant measures aimed at reducing federal Medicaid expenditures and changing how the programs are structured. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from Medicaid spending over 10 years, introduce work requirements and higher patient cost-sharing, and potentially restrict access and funding for some groups. These policy shifts would move greater responsibility to states and set limits on future growth in federal support, even as Medicaid remains vital for millions of Americans.
| 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 HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Data for this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending dataset. Source data is available here.
