Madisonville Medicaid COVID-19 claims exceed $71,000 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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At least $71,123 in Medicaid claims for COVID-19–designated services were reported in Madisonville in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, one of the largest public health programs in the United States, is operated by states but funded through a partnership between federal and state governments. It provides insurance to low-income families and individuals as well as children, seniors, and people living with disabilities.

Since Medicaid funding comes from taxpayers, variations in how much is billed locally highlight allocations for public health care at a community level.

To calculate these amounts, the analysis included only HCPCS codes unmistakably listed as “COVID-19” or “coronavirus” in the billing or classification documentation. These figures reflect just COVID-specific codes and omit any virus care billed with general medical codes.

For further context, Louisville had the highest number of Medicaid COVID-related claims in Kentucky in 2024, totaling $614,714.

Six providers in Madisonville filed claims tied to COVID-19 service codes in 2024, with COVID Specific making up $60,291 of the total.

The average COVID-19–related Medicaid payment per provider in Madisonville stood at $11,854, which is less than the Kentucky state average of $26,845.

COVID-19–specific services represented a notable component in the overall growth of Medicaid spending in Madisonville during pandemic years.

Between 2020 and 2024, total Medicaid payments for non-COVID categories went up by $4,934,662, an increase of 39.4%.

Centers for Medicare & Medicaid Services records show combined federal and state spending on Medicaid reached an estimated $871.7 billion for fiscal year 2023, or about 18% of national health spending. That was sharply up from $613.5 billion in 2019, pre-pandemic.

This jump amounts to about 40% growth over several years, attributed largely to greater Medicaid use and expanded enrollments during and after the COVID-19 emergency.

Recent federal budget laws during the Trump administration brought forward policy changes to decrease federal financing and reshape Medicaid. The “One Big Beautiful Bill Act,” passed in 2025, is forecast to trim over $1 trillion in federal Medicaid outlays in the next 10 years and includes work requirements and increased cost-sharing, potentially reducing some recipients’ aid and shifting expenses toward states. Even with these changes, the program continues to support tens of millions of people nationwide.

Medicaid Payments in Madisonville Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $71,123 -5.7% $17,541,989
2023 $75,408 -67.9% $21,347,459
2022 $235,044 -52.2% $19,261,706
2021 $491,711 109.8% $17,107,154
2020 $234,375 N/A $12,770,579
2019 $0 N/A $14,089,739
2018 $0 N/A $15,301,087
Top COVID-19–Related HCPCS Codes in Madisonville
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $60,291 1,548
87811 Immunoassay $10,832 388
90480 COVID-19 Vaccine Administration $0 48

Note: Includes only HCPCS codes specifically attributed to COVID-19 care; total expenditures for all pandemic-related care may be higher.

The information in this report is based on U.S. Department of Health and Human Services records for Medicaid Provider Spending. Find the source data here.



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