At least $59,050 in Medicaid payments were made in Cocoa during 2024 for services associated with COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.
Medicaid, a state-run public health insurance program jointly funded by federal and state governments, covers low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.
Since taxpayer funds support Medicaid, trends in local billing help illustrate how health care resources flow within a community.
COVID-19–related services in this analysis were tracked by identifying HCPCS codes marked or classified in billing records or reference data as “COVID-19” or “coronavirus” related. Accordingly, the totals only include services clearly listed as COVID-related in billing data, not broader care billed with more general or unrelated codes.
For additional context, Miami had the state’s highest Medicaid payments tied to COVID-19 services in 2024, with $270,279 in claims for virus-related care.
The 2024 data indicates Psj Pediatrics, LLC was the sole provider submitting Medicaid claims for COVID-19–related services in Cocoa.
COVID-19–specific services contributed noticeably to Medicaid spending growth in Cocoa during the designated pandemic years.
Average annual Medicaid payments in Cocoa were $1,523,377 in the two years before the pandemic.
Centers for Medicare & Medicaid Services data shows total federal and state Medicaid spending reached roughly $871.7 billion in fiscal year 2023, accounting for approximately 18% of the nation’s health expenditures—an increase from $613.5 billion in 2019 before the COVID-19 pandemic.
This rise shows growth of about 40%, largely attributable to increased enrollment and greater use of the program during and after the pandemic period.
Recent federal budget initiatives during the Trump administration featured major proposals to cut federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” signed into law in 2025, aims to cut more than $1 trillion in federal Medicaid support over the coming decade and includes new work requirements and cost-sharing measures that could reduce benefits for some recipients. These policy changes may shift additional costs to states and restrict federal Medicaid spending growth, even as large numbers of Americans continue to rely on the program.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $59,050 | -22.9% | $2,416,954 |
| 2023 | $76,628 | 5.3% | $3,831,641 |
| 2022 | $72,754 | 383.9% | $3,620,358 |
| 2021 | $15,033 | N/A | $3,370,284 |
| 2020 | $0 | N/A | $2,938,215 |
| 2019 | $0 | N/A | $2,805,797 |
| 2018 | $0 | N/A | $240,958 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $59,050 | 1,865 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
The U.S. Department of Health and Human Services Medicaid Provider Spending database was used as the primary source for this report. The source dataset is available here.


