Springville Medicaid payments for pathology and laboratory procedures rise to $145,861 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Springville billed $145,861 for services falling under the Pathology and Laboratory Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That total represents a 219.4% increase over 2023, when claims amounted to $45,666 for the same service type.

Medicaid, a major part of the U.S. health care system, is a public health insurance program managed by states with joint federal and state funding. The program covers low-income families and individuals, children, seniors, and those with disabilities.

Because public tax dollars fund Medicaid payments, fluctuations in local billing levels help illustrate how community health care resources are distributed.

The “Pathology and Laboratory Procedures” category reflects a group of billing codes defined by standardized HCPCS and CPT groupings, each assigned to a single category for analysis. This method allows for the grouping of similar services and ensures rankings are accurate and not double counted over time.

While several service categories experienced increased Medicaid spending, Pathology and Laboratory Procedures held the second-highest total payment amount among categories in Springville for 2024.

Statewide in Alabama, Pathology and Laboratory Procedures ranked third by total Medicaid payments in 2024.

Over the five-year period leading up to 2024, Medicaid payments related to Pathology and Laboratory Procedures in Springville grew by $127,765, or 706%. Some years, such as 2022 and 2021, saw especially large annual increases in spending.

Spending on Pathology and Laboratory Procedures in Springville was geographically distributed, but the majority was concentrated in specific ZIP codes. During 2024, ZIP code 35146 accounted for $145,860 of such payments, making up 100% of the category’s Medicaid funds in the city.

Within the category, Medicaid payments were primarily tied to a subset of individual billing codes.

In comparison, overall Medicaid payments in Springville for Pathology and Laboratory Procedures jumped 219.4% between 2024 and 2023. Across all Medicaid claim categories in the city, the increase was 4.3% for the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures hit approximately $871.7 billion in fiscal year 2023, making up around 18% of national health spending, a notable rise from $613.5 billion in 2019, before the COVID-19 pandemic.

This increase reflects growth of roughly 40% in only a few years, largely driven by greater enrollment and increased service usage during and following the pandemic.

Recent federal budget measures under the Trump administration have advanced major proposals to restrict federal Medicaid funding levels and revise the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to trim over $1 trillion in federal Medicaid funding over the next decade. The law introduces approaches such as work requirements and expanded cost-sharing, which could curtail coverage and financing for certain recipients. These reforms are expected to increase the burden on states and slow future federal Medicaid expansion, even as millions continue to depend on the system nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $18,096 -58.1%
2021 $26,024 43.8%
2022 $46,345 78.1%
2023 $45,665 -1.5%
2024 $145,860 219.4%
Top Categories by Medicaid Payments in Springville, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $2,054,799 87.7%
2 Pathology and Laboratory Procedures $145,860 6.2%
3 Medicine Services and Procedures $110,747 4.7%
4 Dental Services $29,375 1.3%
5 Evaluation and Management $938 <0.1%
6 Surgery $445 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Springville, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
87633 Resp virus 12-25 targets $101,609 17
87811 Sars-cov-2 covid19 w/optic $17,574 30
87804 Influenza assay w/optic $15,747 28
87880 Strep a assay w/optic $10,894 40
85018 Hemoglobin $33 1

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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