Medicaid payments for Camden’s pathology and laboratory procedures climb to $14,789 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database indicate that providers in Camden billed $14,789 in 2024 for Pathology and Laboratory Procedures, representing a rise from $13,539 in claims for these services in 2023—an increase of 9.2%.

Medicaid, a public health insurance initiative administered by states and jointly financed by federal and state governments, provides coverage to low-income groups, including individuals, families, children, seniors, and people living with disabilities, making it a major component of the country’s health system.

Because taxpayer resources fund Medicaid disbursements, altered billing volumes locally demonstrate how a community’s health care resources are allocated.

The “Pathology and Laboratory Procedures” grouping covers various Medicaid-billed services classified by care type, utilizing standardized HCPCS and CPT coding schemes. This review assigned each billing code to a single category via consistent code ranges and prefixes, enabling related services to be collectively analyzed—reducing double counts and maintaining accurate year-over-year position within payment rankings.

Medicaid expenditures grew among several service types, and in 2024, Pathology and Laboratory Procedures emerged as the third-highest category in Camden by total Medicaid disbursements.

This category likewise ranked third by total Medicaid payments for Alabama statewide in 2024.

Reviewing a five-year window leading to 2024, Medicaid payments in Camden associated with the Pathology and Laboratory Procedures category climbed $695, or 4.9%. Payment growth rates picked up during multiple years, particularly in 2021 and 2022 which saw marked increases.

Although spending in the Pathology and Laboratory Procedures category occurred throughout Camden, it was heavily focused in a small range of ZIP codes. In 2024, the top ZIP code by Medicaid payments—36726—accumulated a total of $14,788, representing all the city’s category spending that year.

Medicaid billing within the Pathology and Laboratory Procedures category was further narrowed into a small number of specific individual codes.

By comparison, Pathology and Laboratory Procedures saw Medicaid payments grow 9.2% from 2023 to 2024 in Camden, while all healthcare service categories in the city experienced a broader 16.9% change during this period.

According to the Centers for Medicare & Medicaid Services, combined spending on Medicaid by federal and state sources reached around $871.7 billion in fiscal year 2023—a share of about 18% of nationwide health expenditures—up notably from about $613.5 billion in 2019, prior to the COVID-19 public health emergency.

This sharp rise, approximately 40% within several years, has been primarily fueled by growing enrollments and higher use of services during and beyond the pandemic.

In recent years, federal budget packages during the Trump presidency have featured proposals potentially reducing federal outlays to Medicaid and restructuring how the program is managed. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to decrease federal Medicaid spending by over $1 trillion in the coming decade and to introduce policies—like greater cost-sharing and work mandates—that may reduce access for some program participants. These adjustments are expected to shift a greater financial burden to the states and restrain growth in federal Medicaid funding, while service demand remains high for millions.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Camden, Alabama Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $14,093 -23%
2021 $16,734 18.7%
2022 $15,440 -7.7%
2023 $13,539 -12.3%
2024 $14,788 9.2%
Top Categories by Medicaid Payments in Camden, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,325,564 78.2%
2 Evaluation and Management $346,945 20.5%
3 Pathology and Laboratory Procedures $14,788 0.9%
4 Ambulance and Other Transport Services and Supplies $5,547 0.3%
5 Temporary National Codes (Non-Medicare) $1,390 0.1%
6 Medicine Services and Procedures $173 <0.1%
7 Drugs Administered Other than Oral Method $97 <0.1%
8 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Camden, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
87426 Sarscov coronavirus ag ia $5,395 11
80053 Comprehen metabolic panel $2,637 11
87804 Influenza assay w/optic $2,315 49
85025 Complete cbc w/auto diff wbc $2,173 12
81025 Urine pregnancy test $756 12
80061 Lipid panel $483 2
83036 Hemoglobin glycosylated a1c $447 5
86318 Ia infectious agent antibody $408 2
84484 Assay of troponin quant $133 1
81001 Urinalysis auto w/scope $36 1
82947 Assay glucose blood quant $0 8
87400 Influenza a/b each ag ia $0 1
87635 Sars-cov-2 covid-19 amp prb $0 22
87811 Sars-cov-2 covid19 w/optic $0 14
87880 Strep a assay w/optic $0 15

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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