At least $1,025 in Medicaid payments went toward services tied to COVID-19 in Hornell in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, operated by states and funded through both federal and state government contributions, is a health insurance program serving low-income individuals, seniors, children, and people with disabilities, making it a significant part of the U.S. health care system.
Because Medicaid relies on taxpayer funding, shifts in local billing help illustrate how health care resources are distributed within a community.
For the purposes of this report, COVID-19–related services were identified using HCPCS codes marked or classified as “COVID-19” or “coronavirus” in their billing descriptions or reference sources. Therefore, the totals cover only explicitly coded COVID-19 services and omit care potentially linked to the pandemic but billed more broadly.
To provide context, Brooklyn had the highest Medicaid payments for COVID-19 services in New York in 2024, with $3,718,101 in relevant claims.
St James Hospital was the sole provider submitting claims for COVID-19–related Medicaid services in Hornell during 2024, according to the records.
COVID-19–specific services made up a notable portion of Medicaid spending growth in Hornell during the pandemic period.
Overall Medicaid payments across non-COVID claim categories in the city rose by $137,943 from 2020 to 2024, an increase of 3.7%.
In the two years before the pandemic, Hornell’s average annual Medicaid payments were $2,244,944.
The Centers for Medicare & Medicaid Services reports combined state and federal Medicaid spending was about $871.7 billion in fiscal year 2023, or roughly 18% of total U.S. health spending, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise marks an approximately 40% increase, which is largely attributed to higher enrollment and greater use during and in the wake of the pandemic.
Recent federal budget actions carried out during the Trump administration included major proposals to reduce federal Medicaid allocations and modify the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to decrease federal Medicaid spending by more than $1 trillion over 10 years, introducing shifts like work requirements and increased cost-sharing that could limit coverage and resources for certain recipients. These policies are likely to transfer greater financial responsibility to the states and constrain federal Medicaid growth, while the program remains crucial to millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $1,025 | -98% | $3,908,130 |
| 2023 | $51,199 | -74.7% | $5,742,701 |
| 2022 | $202,342 | -53.1% | $7,049,435 |
| 2021 | $431,637 | 107.4% | $5,319,580 |
| 2020 | $208,092 | N/A | $3,977,254 |
| 2019 | $0 | N/A | $2,787,747 |
| 2018 | $0 | N/A | $1,702,141 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $1,025 | 603 |
Note: Figures include only HCPCS codes explicitly labeled for COVID-19 services and do not account for all pandemic-related health care expenses.
This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full source is available here.









