Foley’s Medicaid payments amounted to at least $124,182 in 2024 for services billed with HCPCS codes directly linked to COVID-19, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Managed by states with joint state and federal funding, Medicaid is a public health insurance program that serves low-income individuals and families, seniors, children, and people with disabilities, ranking it among the largest components of the U.S. health care system.
Changes in Medicaid billing at the community level reflect shifts in the use of taxpayer-funded health care dollars.
This analysis identified COVID-19–related services through HCPCS codes classified or described with terms such as “COVID-19” or “coronavirus.” Therefore, only directly labeled COVID-related claims are included. Services related to the pandemic but billed under broader codes may not be represented here.
By comparison, Birmingham had the highest Medicaid payments associated with COVID-19 services in Alabama during 2024, with claims reaching $1,029,178.
During 2024, three different providers in Foley filed Medicaid claims for COVID-19–related services. The COVID Specific code accounted for $88,928 of these payments.
On average, each Foley provider received $41,394 in Medicaid payments related to COVID-19, while the state average totaled $35,056 per provider.
In prior years of the pandemic, the growth of Medicaid spending in Foley was significantly influenced by COVID-19–specific services.
Total payments under other claim types in Foley increased by $1,078,978 between 2020 and 2024, an overall jump of 34.3%.
As reported by the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays rose to about $871.7 billion in fiscal year 2023, around 18% of total national health expenditures—a significant climb from $613.5 billion in 2019, just before the COVID-19 emergency.
This growth of almost 40% over a few years primarily resulted from expanded enrollment and greater utilization during and following the pandemic.
Recent federal budget policy under the Trump administration has contained major proposals to scale back the federal Medicaid contribution and alter the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to trim federal Medicaid spending by more than $1 trillion over the next decade. These policy changes, which include stricter work requirements and greater cost-sharing, could leave some enrollees with less coverage and shift more financial responsibility to states, even while Medicaid continues to aid millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $124,182 | -32.7% | $4,351,583 |
| 2023 | $184,483 | 1.2% | $4,744,224 |
| 2022 | $182,379 | 36% | $4,244,060 |
| 2021 | $134,124 | 328.2% | $4,135,994 |
| 2020 | $31,323 | N/A | $3,179,745 |
| 2019 | $0 | N/A | $3,985,728 |
| 2018 | $0 | N/A | $3,365,374 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $88,928 | 1,727 |
| 87811 | Immunoassay | $35,254 | 1,280 |
Note: Only HCPCS codes specifically labeled for COVID-19 services are included. These totals do not account for all pandemic-associated health expenditures.
The U.S. Department of Health and Human Services Medicaid Provider Spending database was the source for all data in this article. The full dataset is available here.
