Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid payments for services billed with COVID-19–specific HCPCS codes in Spring City totaled at least $12,855 in 2024.
Medicaid, funded through both federal and state governments but administered by the states, serves low-income children and adults, seniors, families, and people with disabilities, forming one of the pillars of the U.S. health care system.
Because Medicaid is taxpayer-funded, fluctuations in local billing illustrate how public health care spending is distributed in individual communities.
For this analysis, COVID-19 services are identified through HCPCS codes where billing descriptions or reference data explicitly identify services as “COVID-19” or “coronavirus” related. Accordingly, amounts include only services that are directly labeled as COVID-related in billing data and exclude pandemic-related care billed under broader or alternative codes.
For context, within Tennessee, Spring Hill posted the highest Medicaid payments for COVID-19 services in 2024, with $4,274,403 reported in virus-related claims.
Records indicate Rhea Medical Center was the sole provider submitting Medicaid claims for COVID-19–related services in Spring City in 2024.
During the initial pandemic years, COVID-19–specific claims made up a recognized portion of Spring City’s increase in Medicaid expenditures.
Total Medicaid payments for all other types of claims in Spring City grew by $337,732 from 2021 to 2024, an increase of 21.3%.
In the two years immediately preceding the pandemic, Spring City’s average annual Medicaid payments were $169,947.
The Centers for Medicare & Medicaid Services reported that federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, accounting for roughly 18% of all U.S. health spending. This figure increased sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This represents about 40% growth in just a few years, primarily fueled by higher enrollment and greater use of services throughout and following the pandemic period.
Federal budget measures under the Trump administration proposed many changes to Medicaid funding and structure. One example, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid funding by over $1 trillion in the next decade, adding work requirements and higher cost-sharing, which may decrease overall coverage and federal support. States may have to bear more of the program’s costs and could face limits on federal Medicaid funding growth, even as the program continues to serve millions of people.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $12,855 | -9.9% | $1,937,668 |
| 2023 | $14,275 | -41.7% | $1,555,543 |
| 2022 | $24,498 | 50.6% | $1,223,901 |
| 2021 | $16,272 | N/A | $1,603,352 |
| 2020 | $0 | N/A | $1,108,559 |
| 2019 | $0 | N/A | $238,226 |
| 2018 | $0 | N/A | $101,668 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $12,855 | 324 |
Note: Includes only those HCPCS codes that are specifically labeled for COVID-19 services; the totals do not reflect all pandemic-associated health care expenditures.
The U.S. Department of Health and Human Services Medicaid Provider Spending database is the source for this information. Find the originating data here.


