Bay Shore Medicaid providers billed $4,141 for COVID-19 services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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At least $4,141 in Medicaid payments was billed in Bay Shore during 2024 for services using HCPCS codes tied to COVID-19, based on data found in the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, as a joint federal and state public health insurance initiative, is funded by both governments and covers eligible low-income groups, older adults, children, and individuals with disabilities. This makes it a major part of the nation’s health care system. Learn more at here.

Since taxpayer contributions underwrite Medicaid, shifts in local billing help reveal how community health dollars are distributed.

This analysis focused on HCPCS codes labeled specifically as “COVID-19” or “coronavirus”–related in billing descriptions or references. Figures reflect only such directly labeled services and do not include pandemic-related services billed under other medical codes.

In comparison, Brooklyn led New York in Medicaid payments for COVID-19 services in 2024, with $3,718,101 claimed for virus-related care.

For Bay Shore, three providers filed Medicaid claims for COVID-19–related services in 2024. The COVID Specific code had the highest dollar amount, at $3,522 in claims.

The average per-provider Medicaid payment for COVID-19 services came to $1,380 in Bay Shore, notably lower than the statewide average of $29,403.

COVID-19–related services made up a significant share of Medicaid spending growth in Bay Shore during the pandemic period.

Across all other claim groups, Bay Shore’s total Medicaid payments went up by $160,501 from 2020 to 2024, representing an increase of 1%.

In the two years before the pandemic, the annual average for Bay Shore’s Medicaid payments stood at $7,331,744.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays were about $871.7 billion in fiscal 2023, roughly 18% of national health spending—a sharp uptick from about $613.5 billion in 2019, before the COVID-19 crisis.

The approximate 40% rise is mostly attributable to higher enrollment numbers and utilization rates during and in the years following the pandemic.

Recent federal budget measures enacted during the Trump administration featured large-scale proposals to trim Medicaid funding and restructure aspects of the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to decrease federal Medicaid spending by over $1 trillion in the next decade. It also implements work requirements and bigger cost-sharing, potentially reducing coverage or funding for certain recipients. Such changes are expected to transfer more of the cost burden to states and may slow federal Medicaid growth, even as the program serves millions across the United States.

Medicaid Payments in Bay Shore Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $4,141 -87.3% $15,944,799
2023 $32,692 -93.5% $21,095,143
2022 $502,805 27.6% $20,848,233
2021 $394,029 114.5% $20,299,550
2020 $183,715 N/A $15,963,872
2019 $0 N/A $9,107,469
2018 $0 N/A $5,556,020
Top COVID-19–Related HCPCS Codes in Bay Shore
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $3,522 243
87811 Immunoassay $619 28

Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.

This article’s information was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can access the source data here.



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