In 2024, Medicaid paid out at least $47,430 in Yadkinville for services designated under HCPCS codes connected to COVID-19, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, operated by states and financed through both federal and state contributions, insures eligible low-income people, seniors, children and those with disabilities, and constitutes a major component of the national health care framework.
Because public funds support Medicaid, shifts in billing amounts locally indicate how health care resources are distributed within the community.
This analysis used HCPCS codes flagged as “COVID-19” or “coronavirus”-related within billing or coding references to pinpoint COVID-related Medicaid claims. Thus, the totals reflect only claims directly marked as COVID-specific, omitting pandemic-related services that could have been billed under different codes.
For reference, Charlotte reported the highest total of Medicaid COVID-19–related payments in North Carolina for 2024, with $2,373,883 in claims linked to the virus.
Express Care Of Yadkin LLC was identified as the sole provider filing Medicaid claims for COVID-related services in Yadkinville during that year.
During the pandemic, spending on COVID-specific Medicaid services contributed significantly to the increase in overall payments in Yadkinville.
Across all other claim groups, Medicaid payments rose by $869,355 from 2020 to 2024, a gain of 29.9%.
Centers for Medicare & Medicaid Services data shows total federal and state Medicaid outlays reached about $871.7 billion in fiscal year 2023—accounting for roughly 18% of all U.S. health spending—up from $613.5 billion in 2019 prior to the pandemic.
This amounts to an approximate 40% increase over several years, largely fueled by greater enrollment and health service use linked to the pandemic and its aftermath.
Major budget legislation during the Trump administration introduced sharp reductions in federal Medicaid contributions and called for various reforms. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by more than $1 trillion in the next decade. Among its wide-ranging provisions are work requirements and higher cost-sharing, which could affect beneficiary coverage and state Medicaid funding. These policy changes are estimated to move greater fiscal responsibility to states and generally restrain federal program growth.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $47,430 | -7.9% | $3,829,505 |
| 2023 | $51,513 | -68.4% | $4,609,083 |
| 2022 | $163,019 | 68.9% | $3,736,376 |
| 2021 | $96,537 | 723.5% | $3,393,200 |
| 2020 | $11,723 | N/A | $2,924,443 |
| 2019 | $0 | N/A | $3,324,399 |
| 2018 | $0 | N/A | $3,444,282 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $47,430 | 1,292 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
The information in this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data can be accessed here.
