Medicaid spending for pathology and laboratory procedures climbs 1.9% in Loxley for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

Providers participating in Medicaid in Loxley billed $968 for services within the Pathology and Laboratory Procedures category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 1.9% increase from 2023, when $950 was billed for the same services.

Medicaid, a public health insurance program managed by the states and funded in partnership between federal and state governments, provides coverage to low-income individuals and families, seniors, children, and those with disabilities—making it a significant component of the U.S. health care system.

Since Medicaid payments are funded by taxpayers, variations in local billing highlight how health care resources are distributed within the community.

The term “Pathology and Laboratory Procedures” covers a set of Medicaid-billed services designated by the type of care provided, utilizing standard HCPCS and CPT coding ranges and prefixes. For this report, each code was assigned to a specific service group, which ensures comparable services appear together, prevents double counting, and facilitates accurate tracking of trends and rankings over time.

Overall Medicaid spending in Loxley increased in several service categories, with Pathology and Laboratory Procedures placing second by total Medicaid payments for 2024.

Statewide in Alabama, the Pathology and Laboratory Procedures category was the third-largest by total Medicaid payments for 2024.

Throughout the five years before 2024, Medicaid payments related to Pathology and Laboratory Procedures in Loxley rose by $968, or 0%. Some periods saw faster growth, with significant increases year over year recorded for 2022 and 2023.

Although spending was spread across Loxley, Medicaid payments for Pathology and Laboratory Procedures were highly concentrated in a small number of ZIP codes. For 2024, ZIP code 36551 saw $968 in Medicaid payments, representing 100% of total payments in this service category in Loxley for that year.

Most Medicaid payments in the Pathology and Laboratory Procedures category were associated with a few specific billing codes.

For comparison, Loxley saw a 1.9% increase in Medicaid payments for Pathology and Laboratory Procedures between 2024 and 2023, while total Medicaid claims across all categories in the city rose 9.2% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending for Medicaid was about $871.7 billion in fiscal year 2023, comprising roughly 18% of all national health expenditures—a substantial increase from the $613.5 billion spent in 2019, prior to the COVID-19 pandemic.

This marks growth of around 40% in just a few years, with much of the increase attributed to expanded enrollment and greater service utilization during the pandemic and its aftermath.

Recently enacted federal budget legislation during the Trump administration has featured major proposals to cut federal Medicaid funding and revise program structure. Notably, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and introduces requirements such as employment and higher cost-sharing, potentially decreasing coverage and funding for certain beneficiaries. These changes are anticipated to increase state-level costs and limit further federal Medicaid growth, even as the program continues to support tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $0 -100%
2021 $681
2022 $927 36.1%
2023 $950 2.5%
2024 $968 1.9%
Top Categories by Medicaid Payments in Loxley, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $95,198 99%
2 Pathology and Laboratory Procedures $968 1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Loxley, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
83036 Hemoglobin glycosylated a1c $720 5
87880 Strep a assay w/optic $98 1
81003 Urinalysis auto w/o scope $87 3
81025 Urine pregnancy test $63 2

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.



Related

Dr. Mehmet Oz CMS Administrator

Medicaid payments for Medicine Services and Procedures increased to $632,875 in Fairhope in 2024

Medicaid disbursements for Medicine Services and Procedures in Fairhope rose by 28.1% in 2024, reflecting shifts in usage and reimbursement trends.

Dr. Mehmet Oz CMS Administrator

Foley Medicaid dental service payments reach $327,825 in 2024, rising 81.9%

Foley Medicaid providers recorded $327,825 in Dental Services spending in 2024, an 81.9% increase over the prior year.

Dr. Mehmet Oz CMS Administrator

Magnolia Springs Medicaid billing for Medicine Services and Procedures climbs to $4,182 in 2024

In 2024, Medicaid providers in Magnolia Springs billed a total of $4,182 for Medicine Services and Procedures, representing a 78.1% increase over the prior year.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Baldwin Times.