Oneida Medicaid providers billed $3,196 for COVID-19 services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Oneida saw Medicaid payments amounting to at least $3,196 in 2024 for services billed under HCPCS codes directly associated with COVID-19, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, a state-administered public health insurance program jointly funded by federal and state governments, covers low-income individuals, seniors, children, and those with disabilities, establishing it as a major component of the U.S. health system. More context can be found at this explanation.

Since Medicaid payments are taxpayer-funded, trends in local billing illustrate how public health care resources are distributed within communities.

This analysis defines COVID-19–related services as those using HCPCS codes marked as “COVID-19” or “coronavirus” in billing details or reference sources. Therefore, only services specifically labeled as COVID-related are included, excluding cases that may have been billed under broader or unrelated codes.

To provide perspective, Brooklyn had the highest Medicaid payments for COVID-19 services in New York for 2024, totaling $3,718,101 in such claims.

In 2024, Oneida Health Systems, Inc was the sole provider filing Medicaid claims for COVID-19–specific services in Oneida.

COVID-19–tagged services contributed visibly to Medicaid spending increases during the pandemic years in Oneida.

From 2020 to 2024, total Medicaid payments for all other claim types climbed by $204,205, reflecting a 3.2% rise.

In the two years before the pandemic, annual average Medicaid payments in Oneida were $1,964,205.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, accounting for around 18% of total U.S. health care spending and up from an estimated $613.5 billion in 2019, before the COVID-19 pandemic.

This marks roughly 40% growth over a few years, largely attributed to expanded enrollment and higher service utilization during and following the pandemic period.

Recent federal legislation under the Trump administration has brought forward major proposals to scale back federal Medicaid funding and revise program structures. The “One Big Beautiful Bill Act,” which was enacted in 2025, is set to reduce federal Medicaid spending by over $1 trillion during the next decade. The bill also introduces requirements such as work obligations and increased cost-sharing, which could lead to reductions in coverage and funding for some beneficiaries. These updates are likely to shift a larger share of costs to states and slow federal Medicaid support, while the program continues to cover tens of millions nationwide.

Medicaid Payments in Oneida Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $3,196 -96.7% $6,632,729
2023 $96,974 -68.3% $9,240,307
2022 $306,364 25.2% $8,972,459
2021 $244,706 157.7% $7,710,864
2020 $94,940 N/A $6,520,267
2019 $0 N/A $2,833,854
2018 $0 N/A $1,094,556
Top COVID-19–Related HCPCS Codes in Oneida
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $3,171 1,164
87811 Immunoassay $25 28

Note: Only HCPCS codes explicitly designated for COVID-19 services are included; figures do not represent the full range of pandemic-related health care spending.

Information used in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data set can be accessed here.



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