At least $30,135 in Medicaid payments were billed in Tuskegee in 2024 for services under HCPCS codes designated for COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.
Medicaid, a state-managed program jointly financed by federal and state governments, provides health coverage to low-income adults, families, seniors, children, and people with disabilities, making it a significant component of the U.S. health care landscape.
Because Medicaid funding is taxpayer-supported, local trends in billing reflect how public health resources are distributed within a community.
For this review, services were counted as COVID-19–related if they were billed under HCPCS codes marked “COVID-19” or “coronavirus” by description or reference. This means the totals include only services billed with codes directly linked to COVID, excluding broader or differently named medical billing codes that could involve pandemic care.
By comparison, Birmingham led all Alabama cities in Medicaid payments tied to COVID-19 care in 2024, with $1,029,178 in related claims.
Two Tuskegee providers processed Medicaid claims with COVID-19–related codes in 2024. The predominant code billed was COVID Specific, amounting to $28,860.
The average Medicaid payment per Tuskegee provider for COVID-19–related care was $15,068, below Alabama’s state average of $35,056.
COVID-19–specific codes made up only a small share of Medicaid spending growth in Tuskegee during the peak pandemic period.
In the two years prior to the pandemic, Tuskegee’s annual average Medicaid payments were $927,211.
According to the Centers for Medicare & Medicaid Services, Medicaid spending from both federal and state sources reached approximately $871.7 billion for fiscal year 2023, making up about 18% of the nation’s health expenditures, up from $613.5 billion in 2019 before the pandemic.
This change marks a roughly 40% increase over several years, fueled primarily by more enrollment and higher usage during and following the pandemic.
Recent federal budget actions taken under the Trump administration include major proposals to cut federal Medicaid funding and revise the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over 10 years and implements requirements such as work obligations and greater cost-sharing, factors projected to limit coverage for some and shift a greater share of expenses to the states. Even with these changes, the program continues to provide care for tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $30,135 | -35.1% | $1,704,127 |
| 2023 | $46,425 | 331.5% | $2,004,600 |
| 2022 | $10,758 | 154% | $1,928,175 |
| 2021 | $4,236 | N/A | $1,850,730 |
| 2020 | $0 | N/A | $868,160 |
| 2019 | $0 | N/A | $949,102 |
| 2018 | $0 | N/A | $905,320 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $28,860 | 700 |
| 87811 | Immunoassay | $1,275 | 184 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
This article sourced information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.
