Pathology and laboratory Medicaid costs rise to $90,769 in Springhill for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Springhill Medicaid providers charged $90,769 for services identified under Pathology and Laboratory Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 2.1% rise compared with 2023, which saw $88,944 billed for the same service category.

Medicaid is a government health insurance program managed by states and financed through federal and state partnership. The program serves low-income people, families, seniors, children, and individuals with disabilities, making it one of the country’s largest health care components.

Since Medicaid funding originates from taxpayers, shifts in billing at the local level indicate how public health dollars are distributed throughout a community.

The “Pathology and Laboratory Procedures” classification groups Medicaid claims by service type, aligned with standardized HCPCS and CPT codes. Service categories in this analysis were defined by assigning every billing code a unique category using set code prefixes and ranges, which allowed for tracking over time and avoided overlap in reporting.

Though Medicaid expenditures rose in several categories, Pathology and Laboratory Procedures ranked third in total Medicaid disbursements for Springhill in 2024.

Statewide in Louisiana, this category ranked seventh for total Medicaid spending in 2024.

Between 2019 and 2024, Medicaid outlays related to Pathology and Laboratory Procedures in Springhill went up by $24,906, or 37.8%. There were notable peaks in spending—especially in 2021 and 2020—indicating periods of faster growth.

While payments were spread across Springhill, they were mainly concentrated in a small number of ZIP codes. The highest Medicaid payment for Pathology and Laboratory Procedures in 2024 occurred in ZIP code 71075, capturing $90,768. This area accounted for 100% of such Medicaid payments in Springhill during the year.

Payments in the Pathology and Laboratory Procedures category were further focused among a limited set of billing codes.

To compare, Medicaid spending on Pathology and Laboratory Procedures in Springhill climbed 2.1% from 2023 to 2024, whereas all Medicaid claims in the city grew by 25% in the same period.

The Centers for Medicare & Medicaid Services reported that combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023—approximately 18% of the nation’s health expenditures—an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump amounts to a roughly 40% increase over several years, with primary drivers being higher enrollment and increased service use during and after the pandemic.

Congressional budget measures during the Trump administration included significant plans to reduce federal Medicaid expenditures and modify its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to slash over $1 trillion in federal Medicaid funding over 10 years. It introduces changes such as work requirements and more cost-sharing, which could decrease funding and coverage for some eligible participants. The expected result is greater cost burdens on states and curtailed growth in federal contributions, though Medicaid continues to support tens of millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Springhill, Louisiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $65,862 25.7%
2021 $172,128 161.3%
2022 $139,553 -18.9%
2023 $88,943 -36.3%
2024 $90,768 2.1%
Top Categories by Medicaid Payments in Springhill, Louisiana, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,563,205 63.5%
2 Evaluation and Management $632,715 25.7%
3 Pathology and Laboratory Procedures $90,768 3.7%
4 Temporary National Codes (Non-Medicare) $63,025 2.6%
5 Alcohol and Drug Abuse Treatment $59,198 2.4%
6 Procedures / Professional Services $35,725 1.5%
7 Surgery $6,392 0.3%
8 Radiology Procedures $4,043 0.2%
9 Medicine Services and Procedures $3,684 0.1%
10 Drugs Administered Other than Oral Method $2,915 0.1%
11 Administrative, Miscellaneous and Investigational $238 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Springhill, Louisiana, 2024

HCPCS Code Description Medicaid Payments Claims
87811 Sars-cov-2 covid19 w/optic $17,639 34
87804 Influenza assay w/optic $15,910 48
87426 Sarscov coronavirus ag ia $10,575 22
85025 Complete cbc w/auto diff wbc $8,893 85
80053 Comprehen metabolic panel $8,653 60
87651 Strep a dna amp probe $5,386 11
80050 General health panel $5,097 8
87428 Sarscov & inf vir a&b ag ia $4,097 12
87880 Strep a assay w/optic $2,952 30
80061 Lipid panel $2,861 18
83036 Hemoglobin glycosylated a1c $1,911 18
80307 Drug test prsmv chem anlyzr $1,763 2
83880 Assay of natriuretic peptide $1,060 2
82306 Vitamin d 25 hydroxy $680 2
87807 Rsv assay w/optic $544 7
81001 Urinalysis auto w/scope $484 15
84484 Assay of troponin quant $436 3
87430 Strep a ag ia $424 2
83735 Assay of magnesium $353 5
87086 Urine culture/colony count $200 3

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.



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