At least $1,870 in Medicaid payments were made in Lebanon in 2024 for services classified under HCPCS codes linked specifically to COVID-19, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 7.2% rise compared to the prior year, when providers logged $1,745 in claims under those same codes.
Medicaid is a public insurance program managed at the state level and funded through a partnership between federal and state governments. It serves low-income individuals and families, seniors, children and people with disabilities, making it one of the largest components of the U.S. health system.
Since Medicaid funding is sourced from taxpayers, fluctuations in local billing levels reflect how a community allocates its public health funds.
This analysis considered COVID-19–specific services identified by HCPCS codes labeled as “COVID-19” or “coronavirus” in billing descriptions or reference data. The reported figures only account for services directly marked as COVID-related in billing data, not including care that might be recorded under other or less specific codes.
Elsewhere in New Hampshire, Dover recorded the largest total of Medicaid payments for COVID-19 services in 2024, reaching $8,029.
Two providers in Lebanon billed Medicaid for COVID-19–related services in 2024. The COVID-19 Vaccine Administration code was the most commonly billed, responsible for $1,396 of the total.
The average Medicaid payment per provider for COVID-19–specific services in Lebanon was $935, below the state average of $1,421.
As reported by the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of national health expenditures. This marks a substantial increase from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This surge represents an increase of around 40% over several years, mainly due to expanded enrollment and greater utilization of services during and after the pandemic phase.
Federal budget measures enacted under the Trump administration featured major proposals to reduce federal funding for Medicaid and restructure the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to cut more than $1 trillion in federal Medicaid spending over the coming decade. The law also introduces policies such as work requirements and increased cost-sharing, which could narrow coverage and lower funding for some beneficiaries. These changes are anticipated to transfer increased costs to states and hold down federal growth in Medicaid support, although the program continues to serve tens of millions.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $1,870 | 7.2% | $12,805,849 |
| 2023 | $1,745 | -99.3% | $14,682,796 |
| 2022 | $237,427 | -36.3% | $18,197,582 |
| 2021 | $372,602 | 101.9% | $17,471,542 |
| 2020 | $184,515 | N/A | $14,831,387 |
| 2019 | $0 | N/A | $18,024,681 |
| 2018 | $0 | N/A | $16,199,931 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90480 | COVID-19 Vaccine Administration | $1,396 | 192 |
| 87635 | COVID Specific | $474 | 17 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Information for this article is from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.

