At least $9,571 in Medicaid funds in Ashland were spent on services billed under COVID-19-specific HCPCS codes in 2024, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. That marks a 28.6% increase over the prior year, when $7,440 in claims were submitted under these codes.
Medicaid, which is administered by the states and funded collectively by federal and state governments, offers health coverage to low-income people, seniors, children and individuals with disabilities, establishing itself as one of the country’s largest health care programs.
Fluctuations in local Medicaid billing levels reflect how a community allocates public health care funds, since these payments originate from taxpayers.
COVID-19–related services in this analysis were determined through HCPCS codes described or categorized as “COVID-19” or “coronavirus” in claim records and relevant classifications. Therefore, these figures only include services clearly marked as COVID-related and do not account for pandemic-driven care billed under broader or other codes.
In comparison, Birmingham led Alabama in Medicaid payments tied to COVID-19 in 2024, with $1,029,178 in claims related to virus-specific services.
The typical Medicaid payment per provider for COVID-19 services in Ashland stood at $4,786, well below the Alabama average of $35,056.
COVID-19–specific claims comprised a significant part of the Medicaid spending increase in Ashland throughout the pandemic period.
Prior to the pandemic, average yearly Medicaid payments in Ashland reached $294,444 over the preceding two years.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending approached $871.7 billion in the 2023 fiscal year, amounting to roughly 18% of all national health expenditures. This was a steep rise from approximately $613.5 billion in 2019 before the COVID-19 pandemic.
That surge represents an increase of nearly 40% within a few years, fueled primarily by greater enrollment and higher service use during and after the pandemic.
Recent federal budget changes enacted under the Trump administration include notable proposals to scale back federal Medicaid funding. The “One Big Beautiful Bill Act,” passed in 2025, is forecast to reduce federal Medicaid expenditures by over $1 trillion over 10 years, implementing work requirements and increased cost-sharing, which could decrease both coverage and funding for certain participants. These adjustments are likely to increase financial burdens on states and limit federal Medicaid growth while the program continues to serve millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $9,571 | 28.6% | $290,768 |
| 2023 | $7,440 | 4.7% | $365,124 |
| 2022 | $7,108 | 41.9% | $354,247 |
| 2021 | $5,008 | N/A | $339,251 |
| 2020 | $0 | N/A | $293,726 |
| 2019 | $0 | N/A | $315,210 |
| 2018 | $0 | N/A | $273,677 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $9,571 | 310 |
Note: The figures comprise only HCPCS codes that are unmistakably labeled for COVID-19; amounts do not cover all health care spending related to the pandemic.
The information in this report originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Reference data is available here.

