Springfield Medicaid COVID-19 spending reached $61,676 in 2024, records show

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid spending in Springfield reached at least $61,676 in 2024 for services billed under HCPCS codes directly related to COVID-19.

Medicaid is a state-run public health insurance program financed jointly by federal and state funds. It insures low-income residents, families, older adults, children, and those with disabilities, making it a major part of America’s health care system.

Because Medicaid funding is taxpayer-based, shifts in local claims reflect how health care dollars are distributed in the area.

Researchers for this report identified COVID-19–linked services using HCPCS codes described or categorized as “COVID-19” or “coronavirus”-related in service or reference records. Therefore, the calculated totals only account for care explicitly marked as COVID-19 in billing data and do not cover pandemic-related care recorded under other codes.

Spring Hill topped Tennessee for Medicaid payments associated with COVID-19 services in 2024, reporting $4,274,403 in related claims.

In 2024, three Springfield providers filed Medicaid claims for COVID-19–related care. The most frequently used code was COVID Specific, which totaled $61,460.

Average per-provider Medicaid payment for COVID-19–coded services in Springfield came to $20,559, falling below the Tennessee state average of $43,799.

COVID-19–specific claims contributed greatly to increases in Springfield’s Medicaid spending during the pandemic years.

The Centers for Medicare & Medicaid Services reported that combined state and federal Medicaid spending climbed to approximately $871.7 billion in fiscal year 2023, making up about 18% of all national health care expenditures. That’s a sharp increase from nearly $613.5 billion in 2019, before the COVID-19 outbreak.

This growth, about 40% over several years, was mainly fueled by broader enrollment and increased use of services during and after the pandemic.

Recent federal budget measures passed under the Trump administration have introduced major proposals reducing the federal Medicaid share and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid funds by over $1 trillion in the next decade and institute provisions such as work requirements and added cost-sharing that may lessen both funding and coverage for some people. As a result, states are expected to bear more costs while federal Medicaid growth becomes more limited, even as the program continues to cover many millions of Americans.

Medicaid Payments in Springfield Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $61,676 -43.6% $3,790,844
2023 $109,407 -28.4% $4,802,538
2022 $152,789 279.9% $4,610,480
2021 $40,214 892.1% $4,337,063
2020 $4,053 N/A $3,809,059
2019 $0 N/A $4,072,344
2018 $0 N/A $3,952,341
Top COVID-19–Related HCPCS Codes in Springfield
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $61,460 1,358
87811 Immunoassay $216 16

Note: Totals reflect only HCPCS codes explicitly labeled for COVID-19 and do not capture all spending connected to the pandemic.

Data in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Full source data is available here.



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