In 2024, health care providers in Union City billed Medicaid at least $64,209 for services using HCPCS codes specifically designated for COVID-19, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 111% rise compared to 2023, when $30,437 in claims using the same codes were reported.
Medicaid, a jointly funded health insurance program run by federal and state governments, covers low-income families and individuals, children, seniors and people with disabilities, making it a core component of the U.S. health care system.
Since taxpayer funds support Medicaid, shifts in local billing reflect changes in how public health care resources are distributed in each community.
The methodology for this analysis identified COVID-19 services based on HCPCS codes labeled or classified as “COVID-19” or “coronavirus” in either the descriptions or relevant reference databases. Consequently, reported totals include only services directly identified in billing data as COVID-related, not pandemic-related care billed under broader categories or alternate codes.
For context, Spring Hill posted the highest total of Medicaid claims connected to COVID-19 in Tennessee for 2024, with providers submitting $4,274,403 in virus-specific claims.
Union City had three providers file Medicaid claims linked to COVID-19–related codes in 2024. The most frequently used code, COVID Specific, amounted to $63,244 in billings.
Across Union City, the average COVID-19–related Medicaid payment per provider reached $21,403 in 2024, lower than the $43,799 average seen statewide.
Overall Medicaid payments involving all service categories increased by $264,716 from 2020 to 2024, an 11.8% rise.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled around $871.7 billion in fiscal 2023, making up about 18% of total national health spending. That marked a substantial jump from the $613.5 billion reported in 2019, prior to the start of the COVID-19 pandemic.
This nearly 40% growth over a few years has largely been attributed to a rise in enrollment and greater health service use during and after the pandemic.
Recent congressional budget packages during the Trump administration have contained major proposals to scale back federal Medicaid funding and transform the program. The “One Big Beautiful Bill Act,” which passed in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and establish policies such as work requirements and increased cost-sharing. These adjustments are likely to reduce coverage and federal support for some Medicaid recipients, causing states to bear increased financial responsibility while the program continues to cover tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $64,209 | 111% | $2,564,035 |
| 2023 | $30,437 | -75.8% | $2,340,747 |
| 2022 | $125,604 | 33.3% | $2,821,207 |
| 2021 | $94,225 | 349.5% | $2,559,085 |
| 2020 | $20,960 | N/A | $2,256,070 |
| 2019 | $0 | N/A | $2,930,905 |
| 2018 | $0 | N/A | $3,153,801 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $63,244 | 1,676 |
| 86328 | Immunoassay | $509 | 18 |
| 87811 | Immunoassay | $456 | 37 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Details for this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data are available here.


