At least $204,819 in Medicaid payments were made in Dearborn in 2024 for services coded for COVID-19, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, administered by the states and financed by both federal and state governments, provides health insurance for low-income people, seniors, children, and people with disabilities, ranking as a key component of the U.S. health care system.
Because Medicaid is funded by taxpayers, shifts in billing amounts at the local level illustrate how public health care resources are distributed in a given community.
COVID-19–related services in this analysis were identified by HCPCS codes marked as “COVID-19” or “coronavirus” in their billing or reference descriptions. As a result, the reported totals include only claims explicitly marked as COVID-related and do not capture care for the pandemic billed under more general codes.
Detroit posted the highest Medicaid payments tied to COVID-19 services in Michigan in 2024, with virus-related claims adding up to $432,564.
Twenty-one providers in Dearborn filed Medicaid claims for COVID-19–related services in 2024, with the COVID Specific code representing $119,683 of those billings.
The average Medicaid payment per Dearborn provider for COVID-19 care in 2024 was $9,753, under the Michigan average of $11,005 for such services.
In the pandemic years, a notable portion of Medicaid expenditures in Dearborn went to COVID-19–specific services.
Medicaid payments for other service categories in the city climbed by $51,273,877 between 2020 and 2024—a 43.9% increase.
In the two years before the pandemic, Dearborn’s annual average Medicaid payments were $115,627,192.
The Centers for Medicare & Medicaid Services reports that total federal and state Medicaid spending hit about $871.7 billion in fiscal 2023, representing around 18% of national health expenditures. This is a significant jump from about $613.5 billion in 2019 before the COVID-19 pandemic.
This rise amounts to an approximate 40% increase in just a few years, mainly due to enrollment growth and higher service usage during and following the pandemic period.
Federal budget measures during the Trump administration have included major proposals to shrink federal Medicaid outlays and alter the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid spending by over $1 trillion over the next decade. The act adds policies like work requirements and more cost-sharing, with the potential to cut coverage and funding for some participants. These adjustments would likely shift more Medicaid costs onto states and slow the rate of federal funding growth, even as the program still covers tens of millions of people.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $204,819 | -48.6% | $168,268,749 |
| 2023 | $398,773 | -83% | $192,039,100 |
| 2022 | $2,347,432 | -48.2% | $174,558,502 |
| 2021 | $4,528,512 | 154% | $160,817,794 |
| 2020 | $1,783,196 | N/A | $118,573,250 |
| 2019 | $0 | N/A | $120,951,259 |
| 2018 | $0 | N/A | $110,303,124 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $113,726 | 3,359 |
| 87811 | Immunoassay | $74,114 | 2,407 |
| 90480 | COVID-19 Vaccine Administration | $9,219 | 278 |
| U0001 | COVID Specific | $5,957 | 290 |
| 86769 | Immunoassay | $1,279 | 39 |
| 86328 | Immunoassay | $525 | 15 |
Note: Totals include only HCPCS codes specifically marked for COVID-19 services; these figures do not account for all health care spending related to the pandemic.
This report is based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the data here.

