Providers in Cohoes submitted $14,027 in Medicaid billings for services within the Medical And Surgical Supplies category in 2024, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 8% increase over 2023, when $12,993 was billed for comparable services.
Medicaid, a public health insurance option overseen by states and funded through a partnership of federal and state funds, covers low-income people and families, seniors, children and those with disabilities. It remains a central part of the nation’s health care system.
As Medicaid payments are generated from taxpayer dollars, shifts in local billing trends demonstrate how public health funds are distributed across communities.
The “Medical And Surgical Supplies” classification encompasses a range of Medicaid-billed services determined by care type, grouped under standardized HCPCS and CPT code systems. This analysis mapped each billing code to one service category using stable code prefixes and numeric intervals, which allowed related services to be tracked together while avoiding overlaps and maintaining accuracy over time.
Even though Medicaid outlays increased for several categories, Medical And Surgical Supplies was seventh by total Medicaid billing in Cohoes for 2024.
Statewide, Medical And Surgical Supplies placed 13th in New York for total Medicaid payments during 2024.
Across the five years leading to 2024, Medicaid payments for Medical And Surgical Supplies in Cohoes grew by $9,904, an increase of 240.2%. The most significant year-over-year jumps occurred in 2020 and 2023.
Within the city, spending for Medical And Surgical Supplies was distributed citywide, but the majority of payments came from a small number of ZIP codes. The ZIP code 12047 reported total Medicaid billings of $14,027 for these services in 2024, making up 100% of category payments in Cohoes that year.
For Medical And Surgical Supplies, Medicaid payments were further concentrated among a small subset of individual billing codes.
For perspective, Medicaid payments for this category in Cohoes increased by 8% between 2024 and 2023, while billings across all Medicaid categories citywide rose 45.6% in the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, accounting for roughly 18% of all health expenditures nationally, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects a nearly 40% rise in federal and state Medicaid costs in just a few years, driven in large part by greater enrollment and increased service utilization linked to the pandemic period and its aftermath.
Recent federal budget actions under the Trump administration have included major proposals to reduce federal Medicaid support and adjust how the program works. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over a decade and calls for changes such as work requirements and higher out-of-pocket costs for some enrollees. These measures are likely to increase states’ shares of Medicaid costs and may slow federal spending growth, while the program remains a foundation of coverage for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,123 | 594.5% |
| 2021 | $3,967 | -3.8% |
| 2022 | $4,402 | 11% |
| 2023 | $12,992 | 195.1% |
| 2024 | $14,027 | 8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $149,994 | 37% |
| 2 | National Codes Established for State Medicaid Agencies | $78,392 | 19.4% |
| 3 | Medicine Services and Procedures | $65,446 | 16.2% |
| 4 | Procedures / Professional Services | $34,887 | 8.6% |
| 5 | Radiology Procedures | $27,813 | 6.9% |
| 6 | Alcohol and Drug Abuse Treatment | $17,713 | 4.4% |
| 7 | Medical And Surgical Supplies | $14,027 | 3.5% |
| 8 | Durable Medical Equipment | $9,181 | 2.3% |
| 9 | Pathology and Laboratory Procedures | $7,399 | 1.8% |
| 10 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A4554 | Disposable underpads | $11,587 | 10 |
| A4670 | Automatic bp monitor, dial | $2,439 | 4 |
Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.
Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.








