In Harrodsburg, Medicaid payments for services billed under HCPCS codes specifically linked to COVID-19 amounted to at least $777 in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a government health insurance initiative run at the state level and financed jointly by state and federal governments. It provides coverage for people with low incomes, families, seniors, children, and individuals with disabilities, and stands as one of the largest segments of the U.S. health care system.
Because Medicaid payments come from taxpayer funds, local billing fluctuations indicate how publicly funded health care dollars are distributed within a community.
For this report, services considered COVID-19–related were identified by HCPCS codes marked or classified as “COVID-19” or “coronavirus” in billing descriptions or reference materials. Therefore, these figures represent only claims labeled as COVID-specific and do not reflect broader pandemic-related care that could fall under other codes.
For perspective, Louisville posted the highest Medicaid payment amount for COVID-19 services in Kentucky in 2024, totaling $614,714 for virus-related claims.
In Harrodsburg, two providers filed Medicaid claims under COVID-19–related service categories in 2024. The COVID Specific code was the most frequently billed, making up $440 of the total.
On average, Medicaid payment per provider for COVID-19–related services in Harrodsburg was $389, well below the statewide average of $26,845.
During the pandemic years, COVID-19–specific services contributed notably to the increase in Medicaid spending in Harrodsburg.
Across other claim types, overall Medicaid payments rose by $508,642 from 2020 to 2024, amounting to a 12.8% increase.
In the two years directly before the pandemic, Harrodsburg recorded an average annual Medicaid payment of $3,879,968.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending by both federal and state governments hit close to $871.7 billion in the 2023 fiscal year, representing about 18% of total national health spending, which reflects a sharp jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.
The jump indicates roughly 40% growth in a few years, largely due to increased enrollment and utilization during and after the pandemic period.
Recent federal budget bills introduced by the Trump administration featured major proposals to reduce federal Medicaid funds and restructure how the program operates. As an example, the “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid expenditures by more than $1 trillion over the coming decade and establishes policies including work requirements and greater cost-sharing, potentially reducing coverage and funding for certain recipients. These measures are likely to shift greater financial responsibility to states and slow the growth of federal Medicaid support, even as the program continues to cover tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $777 | -97.8% | $4,499,841 |
| 2023 | $35,754 | -87.6% | $5,232,009 |
| 2022 | $287,790 | -22% | $5,473,575 |
| 2021 | $368,927 | 123.1% | $4,670,495 |
| 2020 | $165,377 | N/A | $4,155,799 |
| 2019 | $0 | N/A | $4,195,204 |
| 2018 | $0 | N/A | $3,564,732 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $440 | 13 |
| 87811 | Immunoassay | $337 | 17 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Information in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data is available here.

