Tompkinsville Medicaid COVID-19 claims reach $37,691 in 2024

During 2024, Tompkinsville saw Medicaid payments of at least $37,691 for services billed under HCPCS codes specifically linked to COVID-19, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid is administered by states with combined funding from federal and state governments. It provides coverage for low-income individuals and families, children, seniors, and those with disabilities, making it one of the most significant aspects of the U.S. health care landscape.

Since Medicaid spending comes from taxpayers, local billing trends reflect how health care resources are distributed within each community.

For this report, any service using HCPCS codes with “COVID-19” or “coronavirus” in the description or reference classification was counted as COVID-19–related. This means the totals only represent those services explicitly identified as COVID-related in billing, and pandemic-driven care billed under other codes is not included in the figures.

In comparison, Louisville had the highest total for COVID-19 Medicaid claims within Kentucky for 2024, amounting to $614,714 for virus-related services.

The average Medicaid payment per provider for COVID-19 services in Tompkinsville stood at $9,423, falling below the state average of $26,845.

Data from the Centers for Medicare & Medicaid Services shows combined state and federal Medicaid outlays totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of national health expenditures, a notable rise from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This change marks an increase of roughly 40% over several years, driven in large part by higher enrollment and increased use of services during and after the pandemic.

Recent federal budget laws adopted under the Trump administration include major suggestions to decrease federal Medicaid contributions and adjust the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid spending by over $1 trillion over the next 10 years, introducing measures such as work requirements and higher cost-sharing that may limit access and funding for some enrollees. These policy changes are likely to increase state responsibility for costs and reduce the rate of federal Medicaid growth as the program continues to serve tens of millions of Americans.

Note: Only HCPCS codes specifically labeled for COVID-19 services are counted; these totals do not reflect all health care spending linked to the pandemic.

Information for this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.