Campbellsville’s Medicaid payments for directly coded COVID-19 services reached no less than $127,083 in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show.
Administered by states and jointly funded by federal and state governments, Medicaid is a public health insurance program that provides coverage to low-income people, families, seniors, children, and individuals with disabilities, making it a significant part of the U.S. health care system. More on Medicaid funding can be found here.
Since Medicaid uses taxpayer dollars, trends in local billing reveal how public funds are distributed within the community’s health system.
This review identified COVID-19–specific services using HCPCS codes marked or referenced as “COVID-19” or “coronavirus” related by description or classification. Therefore, the totals only include services distinctly labeled as COVID-19 in billing data, not those connected to the pandemic under general or alternate codes.
For reference, Louisville posted the highest COVID-19–related Medicaid total in Kentucky in 2024, with $614,714 in reported payments.
In 2024, five Campbellsville providers filed Medicaid claims under COVID-19–associated codes. The COVID Specific designation ranked highest among these, totaling $111,072 in claims.
The Campbellsville average Medicaid payment per provider for COVID-19–labeled services was $25,417—lower than the statewide average of $26,845.
COVID-19–specific claims fueled much of the Medicaid payment growth seen in Campbellsville during the pandemic years.
Other claim categories saw Medicaid payments rise by $7,643,437 between 2020 and 2024, a 36.3% uplift.
In the two years ahead of the pandemic, Campbellsville’s mean yearly Medicaid payouts stood at $21,253,522.
Centers for Medicare & Medicaid Services data show combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal 2023, accounting for about 18% of U.S. health expenditures—a significant increase from roughly $613.5 billion in 2019, ahead of the pandemic.
This marks a roughly 40% rise over several years, largely influenced by higher enrollment and increased service use during and after the pandemic period.
Major proposals to modify or reduce federal Medicaid funding and reshape the program have appeared in recent federal budgets under the Trump administration. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to decrease federal Medicaid spending by more than $1 trillion in the next decade, implementing provisions such as work requirements and raised cost-sharing that could affect coverage and funding for some enrollees. These reforms are anticipated to increase state responsibility for Medicaid costs and potentially limit the expansion of federal support, while continuing to cover millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $127,083 | -18.8% | $28,849,785 |
| 2023 | $156,577 | -47.3% | $31,598,584 |
| 2022 | $297,152 | -56.1% | $27,058,521 |
| 2021 | $676,430 | 148.8% | $24,370,913 |
| 2020 | $271,833 | N/A | $21,351,099 |
| 2019 | $0 | N/A | $23,010,026 |
| 2018 | $0 | N/A | $19,497,017 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $111,072 | 2,896 |
| 87811 | Immunoassay | $16,011 | 552 |
| 90480 | COVID-19 Vaccine Administration | $0 | 14 |
Note: Includes only HCPCS codes specifically identified with COVID-19 services; figures exclude other pandemic-associated health spending.
This report draws on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data can be accessed here.
