Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show that Medicaid claims in Hartford for services billed with COVID-19 HCPCS codes amounted to at least $18,935 in 2024.
Medicaid is a state-administered health insurance program funded jointly by federal and state governments. The program provides coverage for people with low incomes, seniors, children, and individuals with disabilities, and constitutes one of the largest portions of U.S. health care spending.
Because taxpayer dollars support Medicaid, shifts in local Medicaid billing highlight how communities use public health care funds.
Researchers identified COVID-19 services by selecting HCPCS codes classified or described as “COVID-19” or “coronavirus”-related in billing or reference data. The reported totals represent only those services explicitly labeled for COVID-19 and may not include all health care provided due to the pandemic that was billed under different or broader codes.
In comparison, Louisville reported the highest Medicaid spending on COVID-19 services in Kentucky for 2024 with $614,714 in related claims.
Records show that Ohio County Hospital Corporation was the sole provider in Hartford to file Medicaid claims connected to COVID-19 codes in 2024.
During the pandemic years, COVID-19–specific services drove much of the Medicaid spending increase in Hartford.
Across all other claim types, Medicaid payments increased by $1,611,091 from 2020 to 2024—an overall rise of 34.3%.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in the 2023 fiscal year, making up roughly 18% of U.S. national health spending, a significant jump from approximately $613.5 billion in 2019, before the COVID-19 crisis.
This growth of about 40% over several years was mainly attributed to broader enrollment and greater use of services during and after the pandemic.
Under the Trump administration, recent federal spending legislation outlined sizable reductions for Medicaid funding and proposed changes to program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion in federal Medicaid expenditures over the next 10 years and brings new requirements such as work mandates and added cost-sharing, which could lower coverage and funding for some recipients. These alterations are set to increase state responsibility for costs while restricting federal Medicaid funding growth, though Medicaid continues to support tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $18,935 | -42.7% | $6,327,302 |
| 2023 | $33,028 | -87.6% | $7,510,009 |
| 2022 | $265,718 | -33.7% | $7,404,944 |
| 2021 | $400,747 | 855.9% | $6,433,616 |
| 2020 | $41,923 | N/A | $4,739,200 |
| 2019 | $0 | N/A | $5,549,341 |
| 2018 | $0 | N/A | $5,564,213 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $18,935 | 488 |
Note: Figures include only HCPCS codes specifically designated for COVID-19 services and do not represent all health care spending related to the pandemic.
This article is based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.
