At least $73,060 in Medicaid funds were paid out in Hardeeville in 2024 for COVID-19 services, with claims billed under HCPCS codes specifically designated for the virus, show data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a public health insurance program supported jointly by federal and state governments and run by the states, provides coverage to low-income families and individuals, including seniors, children, and people with disabilities. It remains a core component of the U.S. health care system.
Since Medicaid payments rely on taxpayer contributions, changes in local billing reflect how public dollars are spent on health care within a particular community.
This analysis identified COVID-19–related claims using HCPCS codes labeled as “COVID-19” or “coronavirus” in billing references or descriptions. The resulting data only reflects explicitly COVID-19-labeled services, excluding pandemic care billed under other or broader codes.
In comparison, Columbia recorded the highest Medicaid payments for COVID-19-related claims in South Carolina in 2024, with virus-related services reaching $1,102,671.
Average Medicaid payments per provider for COVID-19–related services in Hardeeville came to $36,530, which is lower than the state average payment of $37,377.
Hardeeville’s average annual Medicaid payments in the two years before the pandemic were $1,114,119.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, accounting for 18% of the nation’s total health care expenditures. That figure is up from about $613.5 billion in 2019, prior to the onset of COVID-19.
This increase is about 40% in just a few years, primarily driven by greater enrollment and service use during and following the pandemic.
Recent changes to federal budget policies under the Trump administration have included major proposals to reduce federal Medicaid contributions. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to decrease federal Medicaid spending by over $1 trillion over the next 10 years and introduces measures such as work requirements and more cost-sharing that could lead to less coverage and reduced funds for certain Medicaid recipients. These adjustments are expected to shift additional cost to states and slow increases in federal Medicaid support, despite the program’s coverage of tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $73,060 | -67.3% | $650,446 |
| 2023 | $223,105 | 6.3% | $1,775,875 |
| 2022 | $209,821 | 230.9% | $1,671,000 |
| 2021 | $63,400 | -64.8% | $1,411,651 |
| 2020 | $179,883 | N/A | $1,254,539 |
| 2019 | $0 | N/A | $1,107,834 |
| 2018 | $0 | N/A | $1,120,405 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| U0002 | COVID Specific | $73,060 | 286 |
Note: Only HCPCS codes directly identified for COVID-19 services are included. Totals do not capture all pandemic-related medical expenses.
Details in this report stem from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying source data is available here.
