At least $17,970 in Medicaid payments were made in Greenfield in 2024 for services billed under HCPCS codes specifically tied to COVID-19, details from the U.S. Department of Health and Human Services Medicaid Provider Spending database show.
Medicaid is a publicly funded health insurance program, administered by states and financed through a partnership between state and federal governments. The program serves low-income individuals and families, seniors, children, and people with disabilities, and represents a major share of the U.S. health system.
Because taxpayer dollars fund Medicaid, local billing shifts reflect community-level distribution of public health resources.
For this report, COVID-19–specific services were identified using HCPCS codes labeled as “COVID-19” or “coronavirus”-related in the billing details or reference information. Consequently, statistics only represent services clearly marked as COVID-related in billing data and exclude other pandemic-linked care billed under more general or alternate medical codes.
By comparison, in 2024, Marion reported the highest Medicaid total for COVID-19–specific claims among all Ohio cities, with $10,818,404 in virus-related payments.
Greenfield had two providers receiving Medicaid payments for COVID-19–related services in 2024. The code most frequently billed was COVID Specific, bringing in the full $17,970 noted above.
To put this in perspective, the average amount paid per provider for COVID-related Medicaid services in Greenfield came to $8,985, considerably below Ohio’s statewide provider average of $119,792.
COVID-19–specific billing represented a notable driver of local Medicaid expenditure increases in Greenfield during the pandemic years.
Across all other types of Medicaid claims, payment totals in Greenfield rose $3,523,928 between 2021 and 2024—a jump of 353.5%.
In the two-year period leading up to the pandemic, annual Medicaid payments in Greenfield averaged $646,946.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal year 2023, which was about 18% of the nation’s total health expenditures—up from near $613.5 billion in 2019, before the COVID-19 crisis.
This equates to an increase of roughly 40% over a few years, attributed in large part to greater enrollment and utilization throughout and following the pandemic period.
Federal budget legislation enacted under the Trump administration included major proposals aimed at curbing federal Medicaid support and restructuring program rules. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next 10 years. It introduces provisions like work requirements and boosted cost-sharing, which are likely to reduce funding and coverage for some beneficiaries. These measures are expected to shift further responsibility to individual states and limit federal Medicaid expansion, despite the program serving scores of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $17,970 | -33.1% | $4,538,775 |
| 2023 | $26,843 | -30.5% | $4,195,873 |
| 2022 | $38,647 | 27.4% | $1,977,914 |
| 2021 | $30,344 | N/A | $1,027,221 |
| 2020 | $0 | N/A | $782,084 |
| 2019 | $0 | N/A | $708,923 |
| 2018 | $0 | N/A | $584,969 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $17,728 | 405 |
| U0002 | COVID Specific | $241 | 854 |
| 87811 | Immunoassay | $0 | 30 |
Note: Data include only HCPCS codes that are expressly identified for COVID-19 care; totals omit overall pandemic-related expenditures.
This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data are accessible here.


