At least $183,837 in Medicaid payments were made in Leitchfield in 2024 for services identified by HCPCS codes specifically tied to COVID-19, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a public health insurance system administered by states and funded jointly by federal and state governments. The program serves low-income people and families, seniors, children and people with disabilities, making it a significant part of the health care system in the United States.
Since Medicaid funding comes from taxpayers, local billing fluctuations illustrate how public health dollars are spent in a community.
For this report, COVID-19–related care was determined using HCPCS codes labeled or classified as “COVID-19” or “coronavirus” in billing descriptions or reference data. Therefore, the data reflect only care directly marked as COVID-related and do not include care that might be pandemic-related but billed under more general or differently named codes.
By comparison, Louisville saw the highest Medicaid payments for COVID-19 services within Kentucky for 2024, amounting to $614,714 in virus-related claims.
Five providers in Leitchfield billed Medicaid for COVID-19–related services in 2024. The code COVID Specific was the most frequently used, responsible for $158,601 in claims.
For additional context, the average Medicaid payment per provider for Leitchfield COVID-19–related care was $36,767, surpassing the state average of $26,845.
During the years marked by the pandemic, Medicaid spending on COVID-19–specific services contributed substantially to the overall rise in Leitchfield’s Medicaid expenditures.
Total Medicaid payments for all other claim groups increased by $4,733,571 from 2020 through 2024, representing a 52.9% rise.
In the two years before the pandemic, Leitchfield’s average yearly Medicaid payments were $9,189,391.
According to the Centers for Medicare & Medicaid Services, state and federal Medicaid spending totaled around $871.7 billion in fiscal year 2023, making up roughly 18% of total national health expenditures—up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth represents an increase of around 40% over just a few years, fueled mainly by increased enrollment and utilization following the pandemic period.
Recent federal budget measures under the Trump administration have included major plans to reduce federal Medicaid spending and change the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid support by over $1 trillion in the next decade and adds new requirements including work mandates and higher cost-sharing, which could impact coverage and funding for some recipients. These changes will likely mean greater financial responsibility for states and slower federal Medicaid funding growth, even as the program covers tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $183,837 | -26.3% | $13,858,256 |
| 2023 | $249,554 | -36.3% | $15,923,258 |
| 2022 | $391,563 | 31.2% | $14,220,678 |
| 2021 | $298,447 | 2,353.2% | $10,969,292 |
| 2020 | $12,166 | N/A | $8,953,013 |
| 2019 | $0 | N/A | $9,421,158 |
| 2018 | $0 | N/A | $8,957,623 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $158,601 | 4,450 |
| 87811 | Immunoassay | $23,445 | 692 |
| 90480 | COVID-19 Vaccine Administration | $1,791 | 49 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Data in this story was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original information is available here.


