Clay City reports $99,939 in Medicaid COVID-19 billings for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid claims in Clay City for services associated with COVID-19 and billed under designated HCPCS codes reached $99,939, based on data provided by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 122% rise compared with the prior year, during which $45,025 in such claims were filed by local providers for the same services.

Medicaid, a major public health insurance program, is administered by states and financed through both federal and state funding. The program serves low-income residents, seniors, children, and individuals with disabilities, making it a core component of the nation’s health care system.

Since Medicaid is funded by taxpayers, shifts in local billing show how a community’s public health care resources are distributed and used.

For the purposes of this report, services were classified as COVID-19 related if their HCPCS codes were billed or listed in references as “COVID-19” or “coronavirus”-related. Therefore, these amounts cover only claims explicitly marked as COVID-related, and do not account for pandemic-associated care billed under more generic or differently classified codes.

In comparison, Louisville led all Kentucky locations with $614,714 in Medicaid payments linked to COVID-19 services in 2024.

Data indicates that Clay City Pediatrics, Psc was the sole provider submitting Medicaid claims for COVID-19–related services in the city for 2024.

Total Medicaid payments in all other claim categories grew by $234,013 from 2021 to 2024, representing a 32.9% rise.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal year 2023, making up about 18% of total national health expenditures—an increase from roughly $613.5 billion in 2019 before the pandemic.

This growth amounts to nearly 40% over several years, driven largely by increased enrollment and usage during and after the COVID-19 pandemic events.

Recent federal budget measures under the Trump administration included major proposals to decrease federal Medicaid contributions and revise program structure. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid outlays by more than $1 trillion over the next 10 years, and adds policies such as work requirements and more cost-sharing, which may decrease coverage and funding for some participants. These adjustments are intended to place more fiscal responsibility on states and curb federal spending growth, though the program continues to support tens of millions of Americans.

Medicaid Payments in Clay City Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $99,939 122% $1,045,675
2023 $45,025 661.3% $1,053,169
2022 $5,914 -31.8% $806,314
2021 $8,677 N/A $720,400
2020 $0 N/A $623,289
2019 $0 N/A $843,880
2018 $0 N/A $820,395
Top COVID-19–Related HCPCS Codes in Clay City
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $99,939 2,280

Note: HCPCS codes included here are specific to COVID-19 services and totals do not encompass all health care costs related to the pandemic.

This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The raw data can be accessed here.



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