Rogersville Medicaid COVID-19 billings reach $39,991 in 2024, with surge during pandemic years

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Rogersville billed a minimum of $39,991 for services under HCPCS codes designated for COVID-19, with data sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This marked a 42.3% rise over 2023, when providers filed $28,096 in claims using those same codes.

Medicaid, a public health insurance program managed at the state level and funded by both federal and state governments, provides coverage for low-income individuals, children, families, seniors, and people with disabilities, making it a key part of the U.S. health care system.

Since Medicaid expenditures are taxpayer-funded, shifts in local billing trends illustrate how public health dollars are distributed locally.

For this report, COVID-19–related services were determined through HCPCS codes tagged or classified as “COVID-19” or “coronavirus” in billing descriptions or reference data. The figures, therefore, reflect only services directly identified as COVID-related in billing, and do not include pandemic-related care billed under broader or unrelated codes.

By comparison, Spring Hill led the state with the highest Medicaid payments for COVID-19 services in Tennessee in 2024, reaching $4,274,403 in virus-associated claims.

Rogersville had two providers who billed Medicaid for COVID-19–related services in 2024. Immunoassay was among the most billed codes, totaling $25,488.

The average Medicaid payment per provider for COVID-19–related services in Rogersville was $19,995, below the Tennessee average of $43,799.

During the pandemic years, COVID-19–related services drove a major increase in Medicaid spending in Rogersville.

Medicaid payments across all other claim categories rose by $138,205 from 2020 to 2024, amounting to a 5.5% gain.

In the two years before the pandemic, the average annual Medicaid payments in Rogersville stood at $2,280,540.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled roughly $871.7 billion in fiscal year 2023, comprising about 18% of total national health expenditures, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents approximately 40% growth in several years, spurred mostly by higher enrollment and increased service utilization during and following the pandemic.

Recent federal budget measures passed during the Trump administration included proposals to decrease federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut over $1 trillion in federal Medicaid funding over the next 10 years and introduces changes like work requirements and higher cost-sharing that may limit some beneficiaries’ coverage and support. These policy changes are expected to increase states’ funding responsibilities and slow the growth of federal Medicaid contributions, while the program continues to serve tens of millions nationwide.

Medicaid Payments in Rogersville Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $39,991 42.3% $2,694,623
2023 $28,096 -50.2% $3,368,898
2022 $56,469 -37.6% $3,282,489
2021 $90,493 25,094.9% $3,225,480
2020 $359 N/A $2,516,786
2019 $0 N/A $2,422,362
2018 $0 N/A $2,138,718
Top COVID-19–Related HCPCS Codes in Rogersville
HCPCS Code Description Medicaid Payments Claims
87811 Immunoassay $25,488 703
87635 COVID Specific $14,503 314

Note: Includes only those HCPCS codes explicitly tagged for COVID-19 services; totals exclude other pandemic-related health expenditures.

The information in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.



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