At least $18,874 in Medicaid payments were made in Erwin in 2024 for services billed under HCPCS codes specifically linked to COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.
Medicaid is a public health insurance program administered by states and funded collaboratively by federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, positioning it as a major component of the U.S. health system.
Since Medicaid is taxpayer-funded, the way local billing fluctuates reflects how public health funds are distributed within a community.
This report defines COVID-19–related services as those billed using HCPCS codes categorized or described as “COVID-19” or “coronavirus”-related in documentation or supplemental data. Therefore, the figures here only include claims explicitly flagged as COVID-related and do not account for conditions indirectly related to the pandemic billed under other codes.
For comparison, Spring Hill had the highest Medicaid payouts for COVID-19 services among Tennessee municipalities in 2024, reporting $4,274,403 in virus-related claims.
Records show that Urgent Care Of Erwin, LLC was the sole provider submitting Medicaid claims for COVID-19–related services in the city during 2024.
During the years of the pandemic, services directly tied to COVID-19 contributed significantly to the rise in Medicaid expenditures in Erwin.
Centers for Medicare & Medicaid Services data notes that total federal and state Medicaid spending reached an estimated $871.7 billion in the 2023 fiscal year, about 18% of all national health expenditures, which is a sharp increase from $613.5 billion in 2019 before the COVID-19 pandemic began.
This jump equates to around a 40% rise over several years, largely due to broadened enrollment and increased service use during and after the public health emergency.
Recent federal budget measures during the Trump administration have included major plans to reduce federal Medicaid spending and change how the program operates. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funding by more than $1 trillion over 10 years and brings policies such as work requirements and greater cost-sharing. These changes could reduce both coverage and funding for some recipients and are predicted to pass more costs to states while restricting federal Medicaid funding growth, despite the program continuing to cover tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $18,874 | -30.8% | $574,817 |
| 2023 | $27,266 | -53.8% | $859,638 |
| 2022 | $58,995 | -45.3% | $961,997 |
| 2021 | $107,884 | 1,302.3% | $1,029,860 |
| 2020 | $7,693 | N/A | $805,007 |
| 2019 | $0 | N/A | $972,331 |
| 2018 | $0 | N/A | $1,140,570 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $18,874 | 654 |
Note: Totals include only HCPCS codes clearly labeled for COVID-19 services and do not reflect all care related to the pandemic.
The data for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.
