Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show that Medicaid payments for services in Biscoe specifically coded for COVID-19 reached at least $609,868 in 2024. This marked an 83.3% increase over 2023, when providers submitted $332,743 in claims for these codes.
Medicaid, a public health insurance program, is operated by states and jointly funded by federal and state governments. Covering low-income individuals, families, seniors, children, and people with disabilities, the program remains one of the core parts of the U.S. health care landscape.
As Medicaid spending comes from taxpayer dollars, local changes in billing levels indicate how public health resources are distributed in each community.
This report identifies COVID-19–related services using HCPCS codes designated as “COVID-19” or “coronavirus” in billing descriptions or reference databases. Because of this methodology, the totals reflect only claims that were directly labeled as COVID-related and do not include pandemic-related care billed under broader or alternative medical codes.
To provide context, Charlotte had the highest total in North Carolina for Medicaid payments tied to COVID-19 services in 2024, amounting to $2,373,883 in related claims.
Records indicate Carolina Quickcare Family Practice, Pllc was Biscoe’s only provider submitting COVID-19–related Medicaid claims in 2024.
During the pandemic years, Medicaid spending increases in Biscoe were largely driven by services tied to the COVID-19 codes.
For all other claim categories combined, Medicaid payments rose by $3,503,123 from 2021 to 2024, an increase of 1,205.7%.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing roughly 18% of U.S. health expenditures. This is up substantially from the $613.5 billion spent in 2019, before the COVID-19 pandemic.
This represents about 40% growth in a span of a few years, a trend fueled mainly by higher enrollment and utilization rates during and after the pandemic period.
Recent federal budget legislation under the Trump administration has included major proposals for federal Medicaid funding reductions and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and to introduce provisions such as work requirements and greater cost-sharing. Such measures have the potential to reduce coverage and shift costs to states, limiting federal Medicaid growth while the program continues serving tens of millions nationally.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $609,868 | 83.3% | $4,403,530 |
| 2023 | $332,743 | 736.6% | $2,499,602 |
| 2022 | $39,771 | 473.4% | $593,988 |
| 2021 | $6,936 | N/A | $297,475 |
| 2020 | $0 | N/A | $177,750 |
| 2019 | $0 | N/A | $256,168 |
| 2018 | $0 | N/A | $211,729 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $609,868 | 21,497 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Details in this report come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.


