Akwesasne Medicaid COVID-19 service claims total $13,661 for 2024

At least $13,661 in Medicaid payments were made for services billed under COVID-19–specific HCPCS codes in Akwesasne for 2024, according to U.S. Department of Health and Human Services Medicaid Provider Spending database records.

Medicaid provides public health insurance through a partnership between states and the federal government. The program is designed for low-income individuals and families, seniors, children, and people with disabilities, making it a significant component of the nation’s health care landscape. Additional funding details are described by the Commonwealth Fund.

Since taxpayer dollars fund Medicaid, shifts in billing activity directly illustrate how local health care resources are distributed.

In this review, HCPCS codes described as “COVID-19” or “coronavirus” reported on billing records or in code reference data were used to identify COVID-specific services. Accordingly, these numbers include only claims distinctly labeled as COVID-related and may not reflect care for pandemic-related needs billed under broader codes.

Brooklyn saw the highest total among New York areas for 2024, reporting $3,718,101 in Medicaid claims for services tied to COVID-19, for comparison.

St Regis Mohawk Tribe was the only local provider to submit Medicaid claims for COVID-focused services in Akwesasne in 2024, according to the data.

During earlier pandemic years, payments for COVID-specific services drove substantial growth in Medicaid outlays in Akwesasne.

Between 2020 and 2024, Medicaid payouts in all other categories in Akwesasne rose by $2,990,760—an increase of 181.6%.

In the two years prior to the pandemic, the average annual Medicaid payment amount in Akwesasne totaled $393,726.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures were about $871.7 billion in fiscal 2023—roughly 18% of all health spending—an increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

This change marks about 40% growth within several years, attributed largely to higher Medicaid enrollment and increased service use related to and following the COVID-19 period.

Recently, federal legislation introduced during the Trump administration proposed major reductions in federal Medicaid funding as well as structural reforms. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to lower federal Medicaid spending by over $1 trillion over the next 10 years and incorporates measures like work requirements and increased cost-sharing, which could affect coverage eligibility and funding for some recipients. Such shifts are expected to increase state responsibilities and slow federal Medicaid funding growth, even as millions remain enrolled in the program.

Note: Totals include HCPCS codes specifically marked for COVID-19 services and do not include all care tied to the pandemic.

The information in this report relies on the most recent data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, which is publicly available here.