Sayre Medicaid providers billed $29,867 for COVID-19 services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Sayre recorded at least $29,867 in Medicaid payments in 2024 for services identified by HCPCS codes specific to COVID-19, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid operates as a state-administered health insurance program, jointly financed by state and federal governments. It serves individuals and families with low incomes, children, seniors, and people with disabilities, making it one of the largest contributors to the U.S. health care system.

As Medicaid is funded by taxpayers, shifts in local billing provide a window into how health care resources are used in specific communities.

This analysis defined COVID-19–related services as those classified by HCPCS codes containing language such as “COVID-19” or “coronavirus” in their billing descriptions or reference data. Consequently, these figures only capture services distinctly marked as COVID-related and omit any pandemic care billed with broader or alternative medical codes.

Pittsburgh led Pennsylvania in 2024 for Medicaid payments tied to COVID-19 claims, reporting $266,441 in total virus-related billing.

On average, Sayre Medicaid providers received $14,934 each for COVID-19 care in 2024, exceeding the state average payment of $6,645 for similar services.

COVID-19–specific services made up a substantial portion of Medicaid spending growth in Sayre during the pandemic years.

Total Medicaid payments for all other categories rose by $8,732,664 between 2020 and 2024, an increase of 97.5%.

Average annual Medicaid payments in Sayre were $5,331,447 in the two years before the pandemic period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid outlays reached approximately $871.7 billion in fiscal year 2023, representing about 18% of all national health expenditures and up from around $613.5 billion in 2019, before the COVID-19 pandemic.

This jump reflects growth of nearly 40% within several years, due largely to broader enrollment and increased use during and after the pandemic stage.

Recent federal budget packages under the Trump administration included major plans to decrease federal Medicaid contributions and restructure funding. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion from federal Medicaid spending over the coming decade, adding work requirements and rising beneficiary cost-sharing that could reduce eligibility and funding for some enrollees. These modifications will likely shift higher costs to state governments and constrain growing federal support for Medicaid while the program continues to aid tens of millions of Americans.

Medicaid Payments in Sayre Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $29,867 -85.5% $17,721,733
2023 $205,574 -85.5% $23,402,157
2022 $1,415,295 -19.8% $23,591,653
2021 $1,765,447 2,549.4% $21,667,983
2020 $66,635 N/A $9,025,836
2019 $0 N/A $6,183,205
2018 $0 N/A $4,479,688
Top COVID-19–Related HCPCS Codes in Sayre
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $29,867 609

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

Details in this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. To access the underlying data, click here.



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