At least $16,127 in Medicaid payments were made in Shelby in 2024 for services billed under HCPCS codes specifically connected to COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.
Medicaid, a state-operated public health insurance program financed by both federal and state governments, provides coverage for low-income groups, seniors, children and people with disabilities. This makes it a major part of the U.S. health care system.
Because Medicaid is taxpayer-funded, shifts in local billing highlight how public health resources are allocated within communities.
COVID-19–related services in this report were based on HCPCS codes labeled or classified as “COVID-19” or “coronavirus” in billing records or reference materials. As a result, the totals only include services explicitly marked as COVID-related and do not cover pandemic care billed using broader or differently designated codes.
For context, Detroit had the state’s largest Medicaid total for COVID-19 services in 2024, with $432,564 in related claims.
Records indicate that Mercy Health Partners was the sole provider in Shelby submitting Medicaid claims for COVID-19–related services during 2024.
COVID-19–specific services drove significant growth in Medicaid spending in Shelby during peak pandemic years.
Total Medicaid payments across categories outside virus-related codes increased by $738,149 from 2020 to 2024, a 41% rise.
In the two years before the pandemic, Shelby’s average annual Medicaid payments were $2,132,308.
Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid expenditures hit roughly $871.7 billion in fiscal year 2023, accounting for about 18% of total national health spending. That is up from $613.5 billion in 2019, before the COVID-19 pandemic.
This represents a roughly 40% increase over a few years, attributed largely to expanded program enrollment and greater utilization during the pandemic and its aftermath.
Recent federal budget measures during the Trump administration have included major proposals to decrease federal Medicaid contributions and change program structure. The “One Big Beautiful Bill Act,” signed in 2025, calls for over $1 trillion in federal Medicaid spending reductions over 10 years and includes policies such as added work requirements and higher cost-sharing. These are expected to shift financial responsibility to states and constrain future federal support, potentially impacting coverage for some enrollees as the program continues to serve tens of millions of people.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $16,127 | -61% | $2,553,459 |
| 2023 | $41,367 | -81.4% | $3,141,692 |
| 2022 | $221,809 | -37.8% | $3,250,008 |
| 2021 | $356,459 | 509.8% | $3,109,783 |
| 2020 | $58,455 | N/A | $1,857,638 |
| 2019 | $0 | N/A | $2,055,487 |
| 2018 | $0 | N/A | $2,209,129 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $16,127 | 459 |
Note: Totals include only HCPCS codes expressly labeled for COVID-19 services and do not reflect all pandemic-era health care expenses.
The information in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.
