At least $41,888 in Medicaid payments were made in Greenville during 2024 for services billed with HCPCS codes directly tied to COVID-19, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, administered by states and funded through a partnership between federal and state governments, provides insurance to low-income individuals and families, children, seniors, and people with disabilities, representing a major segment of the U.S. health care landscape.
Since Medicaid is tax-funded, shifts in local billing demonstrate how community health dollars are being used.
This analysis identified COVID-19–related services using HCPCS codes marked as “COVID-19” or “coronavirus” in billing descriptions or reference files. Therefore, totals include only those services specifically named as COVID-related and may not capture care linked to the pandemic billed under different or broader codes.
Louisville recorded the highest amount of Medicaid payments for COVID-19 services inside Kentucky for 2024, with $614,714 paid for virus-related claims.
Records indicate Oh Muhlenberg, LLC was the sole provider billing Medicaid for COVID-19–related services in Greenville in 2024.
COVID-19–specific Medicaid services contributed significantly to Medicaid spending growth in Greenville throughout the pandemic years.
Medicaid payments for all other claim types rose by $2,313,077 between 2020 and 2024, representing an increase of 62.2%.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures climbed to approximately $871.7 billion in fiscal 2023, making up about 18% of total U.S. health spending. That marks a steep rise from the $613.5 billion reported in 2019, prior to the COVID-19 pandemic.
This increase amounts to growth of nearly 40% in a few years, primarily driven by expanded enrollment and greater service use during and following the pandemic.
Major federal budget legislation passed under the Trump administration featured significant proposed cuts and changes to federal Medicaid funding. The “One Big Beautiful Bill Act,” signed in 2025, aims to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and includes policies such as work requirements and higher cost-sharing. These adjustments could restrict coverage and funding for certain enrollees and are expected to shift a larger share of costs to states at a time when Medicaid continues providing coverage to tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $41,888 | -38.3% | $6,074,135 |
| 2023 | $67,892 | -59.7% | $7,434,494 |
| 2022 | $168,536 | -24.3% | $5,859,561 |
| 2021 | $222,499 | 324.3% | $4,934,395 |
| 2020 | $52,437 | N/A | $3,771,606 |
| 2019 | $0 | N/A | $4,631,761 |
| 2018 | $0 | N/A | $4,030,240 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $41,888 | 1,052 |
Note: Figures represent HCPCS codes specifically for COVID-19 services and do not cover all health care spending related to the pandemic.
The data in this story comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. For more details, the source data is available here.
