In 2024, Medicaid payments in Pineville reached at least $20,019 for services billed under HCPCS codes linked specifically to COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This marked an 8.5% rise over 2023, when claims tied to the same codes totaled $18,454.
Medicaid, a joint state and federal program, provides public health insurance for low-income people, families, seniors, children and people with disabilities, making it one of the nation’s largest health care programs. Funding is provided jointly by federal and state governments.
Since Medicaid is funded by taxpayers, changes in local billing reflect the way public health dollars are distributed in communities.
For the purposes of this report, COVID-19 services were tracked through HCPCS codes designated as “COVID-19” or “coronavirus” in billing or reference descriptions. Figures cited include only services explicitly labeled as COVID-related in such billing and do not reflect broader pandemic care billed under other codes.
In comparison, Louisville had Kentucky’s highest total for Medicaid payments specifically linked to COVID-19 care in 2024, with $614,714 in virus-related claims.
Pineville Community Health Center Inc was the sole provider submitting Medicaid claims for COVID-19–related services in the city in 2024, according to the data.
Over the period from 2020 to 2024, Medicaid payments for all other categories increased by $4,985,366, a rise of 268.8%.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures were approximately $871.7 billion in fiscal year 2023. That amounted to about 18% of all U.S. health spending, up significantly from $613.5 billion in 2019, the year before the COVID-19 pandemic.
This increase reflects roughly 40% growth within several years, mainly due to increased enrollment and higher usage during and after the pandemic.
Federal budget legislation signed under the Trump administration included several provisions to reduce federal Medicaid support and change the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut federal Medicaid spending by more than $1 trillion over 10 years, introducing new work requirements and cost-sharing policies that could impact coverage and financing for certain beneficiaries. The changes are expected to shift more financial responsibility to states and slow the growth of federal Medicaid spending, even as the program provides coverage for tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $20,019 | 8.5% | $6,859,778 |
| 2023 | $18,454 | -74.7% | $5,958,662 |
| 2022 | $72,927 | -24.2% | $2,432,297 |
| 2021 | $96,272 | 171.1% | $1,979,044 |
| 2020 | $35,511 | N/A | $1,889,904 |
| 2019 | $0 | N/A | $2,137,940 |
| 2018 | $0 | N/A | $2,769,365 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| U0002 | COVID Specific | $10,922 | 356 |
| 86328 | Immunoassay | $4,983 | 186 |
| 86769 | Immunoassay | $4,115 | 161 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
The information in this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data can be accessed here.
