In Paw Paw, Medicaid providers received a minimum of $2,388 in payments in 2024 for services coded with HCPCS codes specifically related to COVID-19, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a publicly funded health insurance initiative managed by states and financed by both federal and state dollars. The program supports low-income populations, older adults, children, and those with disabilities, ranking as a major part of the U.S. health care landscape.
Because these Medicaid payments come from public funds, shifts in local billing show how community health dollars are used.
For the purposes of this review, COVID-19–related services were identified by using HCPCS codes described or listed as “COVID-19” or “coronavirus” in their billing data. This means the figures only count services labeled in Medicaid data as directly linked to COVID-19 and do not include pandemic care that may have used alternative or broader billing codes.
Detroit saw the state’s highest total Medicaid payments for COVID-19 services in 2024, reaching $432,564 in claims related to the virus.
Bronson Lakeview Hospital was the sole provider reporting Medicaid claims for COVID-19–related services in Paw Paw for 2024.
COVID-19–labeled services significantly contributed to Medicaid spending increases in Paw Paw during the pandemic.
Between 2020 and 2024, Medicaid payments for all other claims in the area grew by $4,302,276, which represents a 32.1% rise.
As outlined by the Centers for Medicare & Medicaid Services, total joint federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, making up nearly 18% of the country’s total health expenses—an increase from roughly $613.5 billion in 2019 before the pandemic.
This change equates to about 40% growth in just a few years, driven mainly by increased Medicaid participation and service use during and following the pandemic.
Recent federal financial legislation from the Trump administration introduced substantive cuts to Medicaid fund allocation and sought to revamp the program. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to decrease federal Medicaid spending by more than $1 trillion over the coming decade, adding requirements such as workforce participation and more out-of-pocket costs for beneficiaries—factors likely to restrict coverage and funding for some recipients. This shift is likely to place additional responsibilities on state budgets and may prevent further increases in federal support as Medicaid continues to assist millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $2,388 | -41.2% | $17,691,071 |
| 2023 | $4,059 | -96% | $18,330,297 |
| 2022 | $102,609 | -67.5% | $15,591,557 |
| 2021 | $315,816 | 95.6% | $14,652,246 |
| 2020 | $161,464 | N/A | $13,547,872 |
| 2019 | $0 | N/A | $14,611,766 |
| 2018 | $0 | N/A | $13,485,893 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90480 | COVID-19 Vaccine Administration | $2,388 | 242 |
Note: Totals include only HCPCS codes clearly designated for COVID-19 services and do not reflect overall pandemic-related health care expenditures.
Source information for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data is accessible here.

