Rutherford Medicaid COVID-19 service claims reached $567 in 2024

According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, at least $567 in Medicaid payments were recorded in Rutherford in 2024 for services billed under HCPCS codes linked directly to COVID-19.

Medicaid is a government health insurance program managed at the state level and funded through a partnership between state and federal governments. It provides coverage for children, people with disabilities, low-income residents and families, and seniors, ranking as one of the largest components of the U.S. health care system.

With Medicaid funded by taxpayers, fluctuations in billing reflect how community health care resources are being spent.

For this report, COVID-19–specific services were tracked using HCPCS codes marked as “COVID-19” or “coronavirus” in billing documentation or coding reference files. As a result, the presented totals represent only those services clearly designated as COVID-related and do not encompass pandemic-related care listed under different medical codes.

To compare, Spring Hill saw the highest Medicaid amounts tied to COVID-19 services across Tennessee in 2024, with $4,274,403 in claims related to the virus.

The records indicate The Rutherford Medical Clinic LLC submitted the sole Medicaid claims for COVID-19–related services within the city in 2024.

Throughout the pandemic, COVID-19–associated services made up a significant part of the rise in Medicaid expenses in Rutherford.

In the pair of years just before the pandemic, Rutherford’s average yearly Medicaid payments were $28,074.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from both federal and state budgets reached roughly $871.7 billion in fiscal 2023, about 18% of national health expenditures, an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump equals a growth of about 40% in just a few years, mainly due to increased enrollment and greater usage throughout and after the pandemic period.

Recent budget measures during the Trump administration have brought forward major proposals to shrink the federal share of Medicaid spending and change the way the program functions. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid funding by more than $1 trillion over 10 years and sets out policies such as requiring work for some participants and raising cost-sharing, steps likely to trim coverage and funding for certain enrollees. These adjustments are projected to place greater financial responsibility on states and slow federal Medicaid expansion while the program still assists millions across the country.

Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.

Details for this report are based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data set is accessible here.