Geneva saw at least $10,191 in Medicaid payments in 2024 for services identified by HCPCS codes directly linked to COVID-19, based on records from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a state-administered public health insurance program with funding shared between federal and state governments, covers low-income individuals and families, seniors, children, and those with disabilities. It is among the largest components of the U.S. health care system.
As Medicaid relies on taxpayer funding, shifts in local billing shed light on the way public health resources are spent within a community.
This analysis classified COVID-19 services according to HCPCS codes marked as “COVID-19” or “coronavirus”-related in billing records or reference materials. Therefore, these totals include only services clearly designated as COVID-related by those codes, and do not reflect broader pandemic-related care possibly billed under other codes.
Birmingham led Alabama’s municipalities for Medicaid payments associated with COVID-19 in 2024, recording $1,029,178 in virus-related claims.
The data shows Geneva County Healthcare Authority, Inc made all Medicaid claims for COVID-19–related services reported in Geneva during 2024.
The Centers for Medicare & Medicaid Services reported that total federal and state spending for Medicaid reached about $871.7 billion in fiscal year 2023. This made up roughly 18% of all national health expenditures and marked a significant increase from $613.5 billion in 2019, prior to the pandemic.
This growth equates to a roughly 40% rise over several years, primarily due to expanded enrollment and increased demand in the pandemic and post-pandemic periods.
Federal budget changes under the Trump administration introduced extensive efforts to reduce federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid expenditures during the next decade. The legislation implements changes such as work requirements and higher cost-sharing for some enrollees, which could lead to reduced coverage and more financial responsibility for states, even as Medicaid continues serving tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $10,191 | -26.2% | $411,822 |
| 2023 | $13,807 | 16.9% | $632,637 |
| 2022 | $11,806 | -51% | $562,488 |
| 2021 | $24,117 | 572.1% | $529,027 |
| 2020 | $3,588 | N/A | $468,504 |
| 2019 | $0 | N/A | $743,443 |
| 2018 | $0 | N/A | $620,687 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| U0002 | COVID Specific | $10,191 | 257 |
Note: Figures include only HCPCS codes specifically labeled for COVID-19 services; the totals do not account for all pandemic-related health expenditures.
This article’s information is based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source is available here.
