Lenoir City Medicaid paid $55,806 for COVID-19 services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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At least $55,806 in Medicaid funds were paid out in Lenoir City during 2024 for services billed under HCPCS codes specifically tied to COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.

Medicaid, operated by the states with joint federal and state funding, is a public insurance program for qualifying low-income individuals, families, older adults, children, and people with disabilities. It is a major part of the U.S. health care sector. For more about how Medicaid is financed, see this resource.

Tax dollars finance Medicaid payments. Therefore, increases or decreases in local spending on Medicaid help track how a community allocates public health budgets.

This analysis used HCPCS codes marked as “COVID-19” or “coronavirus” in claim descriptions or classification data to pinpoint services specifically categorized as related to the virus. The reported figures are limited to claims labeled in this way and may not include all care associated with the pandemic charged through other codes.

For additional context, Spring Hill registered Tennessee’s highest amount of Medicaid claims assigned to COVID-19 services in 2024, with a total of $4,274,403.

Records demonstrate Pediatric Choice LLC submitted all of the Medicaid claims tagged with COVID-19–related services in Lenoir City for the same year.

From 2020 to 2024, total Medicaid payments covering all other claim categories in the city grew by $2,903,933, a 108.4% jump.

Data from the Centers for Medicare & Medicaid Services indicate that federal and state Medicaid expenditures stood at around $871.7 billion in fiscal year 2023, amounting to approximately 18% of total U.S. health spending; that figure was sharply higher than the $613.5 billion recorded in 2019, pre-pandemic.

This growth—roughly 40% over just a few years—was largely the result of more people enrolling in Medicaid and using more services during and after the height of the COVID-19 pandemic.

Recent federal budget laws from the Trump administration included major proposals to reduce the federal share of Medicaid funding and change how the program operates. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to result in over $1 trillion in federal Medicaid funding cuts over the coming decade and incorporates provisions such as work requirements and higher cost-sharing, which could reduce both coverage and financial support for some enrollees. These policy changes are likely to increase the states’ funding responsibilities for Medicaid, while placing stricter limits on federal contributions even as the program continues to serve millions across the country.

Medicaid Payments in Lenoir City Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $55,806 -20.2% $5,637,952
2023 $69,930 -21.8% $4,664,704
2022 $89,387 59.4% $4,271,502
2021 $56,075 1,306.8% $3,196,170
2020 $3,986 N/A $2,682,200
2019 $0 N/A $3,530,320
2018 $0 N/A $3,161,384
Top COVID-19–Related HCPCS Codes in Lenoir City
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $55,806 1,168

Note: Totals reflect only those HCPCS codes directly flagged as COVID-19 services; these amounts do not represent all medical spending associated with the broader pandemic response.

Details for this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The complete dataset is available here.



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