Addison Medicaid COVID-19 payments reach $148,907 in 2024
At least $148,907 in Medicaid payments for services billed under specific COVID-19 HCPCS codes was reported in Addison during 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a public insurance initiative funded jointly by federal and state governments and administered by individual states. It provides health coverage for low-income families, seniors, children, and people with disabilities, making it a major component of the U.S. health care landscape.
Because the source of Medicaid payments is taxpayer funding, variations in local billing patterns show how public health care resources are distributed locally.
For this report, COVID-19–specific services were tracked using HCPCS billing codes labeled or referenced as "COVID-19" or "coronavirus"-related. As a result, the totals only account for claims billed directly under COVID designations and do not reflect pandemic-related care submitted under other or general codes.
In comparison, Chicago documented the highest amount of Medicaid payments for COVID-19–tied services across Illinois in 2024, with $5,867,303 in virus-linked claims.
Within Addison, two providers processed Medicaid claims for COVID-19–related services in 2024. The most frequently used code accounted for $143,290 in claims under the COVID Specific category.
Average payment per provider for COVID-19–labeled services in Addison was $74,453, lower than the Illinois state average of $168,110.
Total Medicaid payments for all non-COVID claims in Addison grew by $633,445 between 2021 and 2024, a rise of 14.7%.
According to the Centers for Medicare & Medicaid Services, the combined state and federal Medicaid spending in fiscal year 2023 was about $871.7 billion, representing approximately 18% of the nation’s total health expenditures and an increase from $613.5 billion in 2019, prior to the pandemic.
This translates to a growth of around 40% over several years, largely due to increased enrollment and a greater demand for services during and after the pandemic period.
Recent federal budget measures signed into law during the Trump administration propose major changes, such as reducing Medicaid support and revising the program structure. The "One Big Beautiful Bill Act," enacted in 2025, is set to cut federal Medicaid spending by over $1 trillion over a decade, instituting work requirements and higher cost-sharing. This could reduce coverage and funding for some enrollees and is likely to shift more financial responsibility to states, even as Medicaid continues to serve millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $148,907 | -94.7% | $5,101,576 |
| 2023 | $2,812,022 | 777.1% | $8,865,165 |
| 2022 | $320,598 | 15,907.3% | $4,267,047 |
| 2021 | $2,003 | N/A | $4,321,227 |
| 2020 | $0 | N/A | $4,116,271 |
| 2019 | $0 | N/A | $6,258,675 |
| 2018 | $0 | N/A | $4,021,780 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $143,290 | 3,094 |
| 87811 | Immunoassay | $5,616 | 242 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Details for this report come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source material here.