Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid paid at least $1,922 in Childersburg in 2024 for services billed with HCPCS codes specifically associated with COVID-19.
Medicaid is a state-run public health insurance program funded jointly by federal and state governments. It provides coverage for individuals and families with low incomes, seniors, children, and people living with disabilities, making it a major segment of the U.S. health care system.
Because taxpayer funds support Medicaid, shifts in local billing reflect how public health funding is used within each community.
For this analysis, COVID-19 services were identified with HCPCS codes classified in billing descriptions or reference data as “COVID-19” or “coronavirus”-related. Therefore, the totals cover only claims directly marked as COVID-related in billing, excluding care that may be recorded under broader or differently labeled medical codes.
Birmingham reported the highest COVID-19 Medicaid payments in Alabama for 2024, with $1,029,178 in claims involving virus-related services.
Management And Medical Services, LLC was the sole provider submitting Medicaid claims for COVID-19–related services in Childersburg during 2024, according to the data.
During the pandemic, COVID-19–specific services made up a significant share of the increase in Medicaid spending in Childersburg.
In the two years before the onset of the pandemic, Childersburg’s average annual Medicaid payments were $138,180.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending rose to about $871.7 billion in fiscal year 2023, equal to roughly 18% of total national health expenditures. This marks an increase from around $613.5 billion in 2019, before the pandemic.
This growth, roughly 40% over several years, has been driven by higher enrollment and greater service usage during and after the pandemic.
Recent federal budget legislation during the Trump administration includes significant changes to federal Medicaid funding and program structure. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over the next ten years, establishing new policies such as work requirements and increased cost-sharing that could lessen both coverage and funds for some enrollees. These changes are anticipated to transfer more financial responsibility to states and curb the growth of federal Medicaid support, while the program continues to serve tens of millions of people.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $1,922 | -53.8% | $168,833 |
| 2023 | $4,160 | -25.2% | $227,970 |
| 2022 | $5,562 | 92% | $205,625 |
| 2021 | $2,897 | N/A | $210,608 |
| 2020 | $0 | N/A | $159,765 |
| 2019 | $0 | N/A | $149,867 |
| 2018 | $0 | N/A | $126,493 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $1,922 | 75 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Information used in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.

