In Russellville, Medicaid payments for services billed under HCPCS codes specifically tied to COVID-19 reached at least $27,283 in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This marks a 14.5% rise compared to 2023, when providers submitted $23,819 in claims for those same service codes.
Medicaid, a state-administered program funded jointly by federal and state governments, covers low-income people, seniors, children and individuals with disabilities, making it a major component of the U.S. health care system.
Because Medicaid dollars are taxpayer-funded, shifts in local billing offer insight into how public health care resources are distributed in each community.
For this review, COVID-19–related services were tracked using HCPCS codes marked as “COVID-19” or “coronavirus” in billing data or supporting references. The totals represent only those services explicitly listed as COVID-related and do not account for care billed under broader or other medical codes that may have been pandemic-related.
Louisville, by comparison, reported the highest Medicaid payment figure for COVID-19 services in Kentucky in 2024, reaching $614,714 in virus-related claims.
Records indicate Fast Pace Kentucky, Pllc was the only provider submitting Medicaid claims for COVID-19–related services in Russellville during 2024.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, making up roughly 18% of total U.S. health care expenditures and up significantly from $613.5 billion in 2019, before the pandemic.
This increase accounts for nearly 40% growth in just a few years, largely due to expanded enrollment and greater use of services during and after the pandemic.
Recent federal budget measures enacted under the Trump administration contain major proposals to reduce federal Medicaid funding and change the program structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over the next 10 years and add provisions like work requirements and higher cost-sharing, potentially narrowing coverage and funding for some recipients. These measures are likely to shift costs to states and curb future federal Medicaid growth, though the program will continue to cover tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $27,283 | 14.5% | $2,297,459 |
| 2023 | $23,819 | -47.9% | $3,482,631 |
| 2022 | $45,721 | -18.1% | $2,704,514 |
| 2021 | $55,840 | 430.2% | $2,535,979 |
| 2020 | $10,532 | N/A | $2,400,610 |
| 2019 | $0 | N/A | $2,898,407 |
| 2018 | $0 | N/A | $3,140,501 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $27,283 | 1,041 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
The information in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original data is available here.


