At least $142,697 in Medicaid payments in Cooperstown during 2024 were attributed to services billed under HCPCS codes specifically assigned to COVID-19, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a state-operated public health insurance initiative funded collectively by federal and state governments. The program covers low-income residents, seniors, children and individuals with disabilities, serving as a critical component of the U.S. health care system.
Since Medicaid payments are sourced from taxpayers, adjustments in local claims provide insight into how community health care funds are spent.
This count of COVID-19–related services only includes those identified via HCPCS codes that are clearly billed or referenced as “COVID-19” or “coronavirus.” As such, the total reflects only services directly categorized as COVID-related by code descriptions, potentially omitting care billed through other codes.
Elsewhere in New York, Brooklyn saw the highest volume of Medicaid payments for COVID-19–specific services in 2024, reporting $3,718,101 in such claims.
The data indicates Mary Imogene Bassett Hospital was the sole provider submitting Medicaid claims for COVID-19–coded services within Cooperstown during 2024.
Over the span of the pandemic, COVID-19–related services contributed noticeably to the rise in Medicaid spending locally.
Total Medicaid outlays for all other services increased by $727,507 from 2020 to 2024, amounting to a 3.9% rise.
Across the two years before the pandemic, Cooperstown’s average yearly Medicaid payments were $4,819,555.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023, making up about 18% of all U.S. health spending, a marked increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth of about 40% over just a few years mostly reflects rising enrollment and greater service use during and after the pandemic period.
Major federal budget changes enacted under the Trump administration included measures to significantly cut federal Medicaid contributions and revise the structure of the program. The “One Big Beautiful Bill Act,” which was enacted in 2025, is forecasted to reduce federal Medicaid funding by more than $1 trillion over the next decade. The law also brings in new policies like work requirements and increased out-of-pocket costs, raising the likelihood of reduced Medicaid coverage and funding for certain populations. These shifts are expected to transfer additional financial responsibility to states and to put restrictions on the expansion of federal Medicaid assistance, even as millions of Americans continue to rely on the program.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $142,697 | -51.5% | $19,650,775 |
| 2023 | $294,519 | -66.7% | $28,637,040 |
| 2022 | $885,699 | -29.8% | $37,139,330 |
| 2021 | $1,261,098 | 99% | $24,450,414 |
| 2020 | $633,871 | N/A | $19,414,442 |
| 2019 | $0 | N/A | $7,876,173 |
| 2018 | $0 | N/A | $1,762,937 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $131,222 | 3,490 |
| 90480 | COVID-19 Vaccine Administration | $11,475 | 382 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Information included here is drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original data is available here.






