At least $71,643 in Medicaid spending was recorded in Scottsville in 2024 for services billed with HCPCS codes specifically tied to COVID-19, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a public health insurance initiative funded through both federal and state governments and administered by states, provides coverage for low-income people, seniors, children, and individuals with disabilities, making it a major segment of the U.S. health care system.
As Medicaid is financed by taxpayers, local billing trends illustrate how public health care resources are distributed within a community.
This report identified COVID-19–specific services by using HCPCS codes designated or categorized as “COVID-19” or “coronavirus”-related in official billing descriptions or reference lists. The totals reflect only those services directly coded as COVID-related, excluding any pandemic care billed under broader or different codes.
Louisville had the highest total in Kentucky for Medicaid payments linked to COVID-19 services in 2024, with virus-related claims totaling $614,714 for that year.
The average Medicaid payment per provider for COVID-19 services in Scottsville was $23,881, which is below Kentucky’s state average of $26,845.
During the pandemic, COVID-19–labeled services contributed substantially to Medicaid spending growth in Scottsville.
Across all other categories, total Medicaid payments rose by $874,717 from 2020 to 2024, a 27.8% increase.
For the two years just prior to the pandemic period, average annual Medicaid spending in Scottsville was $3,408,959.
Centers for Medicare & Medicaid Services data shows that combined federal and state spending on Medicaid reached about $871.7 billion in fiscal 2023, making up approximately 18% of all U.S. health care expenditures. That figure represents a sharp rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This change reflects an increase of about 40% over just a few years, with expanded enrollment and higher service use cited as primary factors during and following the pandemic.
Recent federal budget legislation under the Trump administration has introduced proposals toward reducing federal Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce over $1 trillion in federal Medicaid funding over the next decade. It brings requirements such as work-based eligibility and greater cost-sharing, which may trim coverage and reduce funding for certain beneficiaries, shifting more financial responsibility to states.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $71,643 | -9.1% | $4,092,100 |
| 2023 | $78,793 | -48.9% | $4,896,769 |
| 2022 | $154,143 | -62.4% | $4,392,929 |
| 2021 | $409,902 | 416.3% | $4,053,082 |
| 2020 | $79,396 | N/A | $3,225,136 |
| 2019 | $0 | N/A | $3,380,331 |
| 2018 | $0 | N/A | $3,437,587 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $71,643 | 2,043 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
The data in this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database, which can be accessed here.


