Northport Medicaid spending on pathology and lab services up 141.6% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Northport Medicaid providers billed a total of $570,652 for Pathology and Laboratory Procedures services in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 141.6% jump from 2023, when $236,187 in claims were submitted for the same category.

Medicaid operates as a public health insurance initiative managed by states and financed through both federal and state contributions. It serves low-income residents, older adults, children, and people with disabilities, making it a key element of the nation’s health care system.

Since taxpayers fund Medicaid, shifts in local billing amounts show how health care funding is distributed within a community.

The “Pathology and Laboratory Procedures” category includes an array of Medicaid services grouped by type, based on specific HCPCS and CPT code prefixes and numeric ranges. For this review, billing codes were assigned to just one service category to enable consistent analysis, prevent double counting, and maintain accurate rankings over time.

Pathology and Laboratory Procedures ranked as Northport’s fourth-largest category by Medicaid spending in 2024, despite increases in several other service groups.

Statewide in Alabama, Pathology and Laboratory Procedures was the third-highest Medicaid payment category in 2024.

From 5 years leading up to 2024, Northport Medicaid payments for Pathology and Laboratory Procedures rose by $505,538, a 776.4% increase. Accelerated spending was observed in key years, with substantial annual growth noted in both 2023 and 2022.

While payments for this category were distributed across Northport, the majority were concentrated in a small number of ZIP codes. In 2024, ZIP code 35476 accounted for $561,731 and 35473 for $8,921, making up 100% of category payments in the city for the year.

Payments for Pathology and Laboratory Procedures were primarily focused on a small set of individual billing codes within the category.

To compare, Northport saw a 141.6% rise in Medicaid payments for Pathology and Laboratory Procedures from 2023 to 2024, against a 2.7% overall increase across all Medicaid claim categories during the same span.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, making up around 18% of national health expenditures—an increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

This growth of roughly 40% over a few years is largely attributed to higher enrollment and greater service use during and following the pandemic.

Recent federal budget measures under the Trump administration included proposals aimed at reducing federal Medicaid funding and restructuring the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to slash federal Medicaid spending by over $1 trillion across the next decade. The law introduces provisions like work requirements and higher cost-sharing, which could reduce coverage and funding for certain groups. These modifications may result in greater cost shifts to individual states and slower federal funding growth, while Medicaid continues to serve millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $65,114 9.4%
2021 $63,317 -2.8%
2022 $100,849 59.3%
2023 $236,187 134.2%
2024 $570,652 141.6%
Top Categories by Medicaid Payments in Northport, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,249,731 34.4%
2 National Codes Established for State Medicaid Agencies $981,933 27.1%
3 Medicine Services and Procedures $740,808 20.4%
4 Pathology and Laboratory Procedures $570,652 15.7%
5 Vision Services $27,171 0.7%
6 Radiology Procedures $19,511 0.5%
7 Anesthesia $13,940 0.4%
8 Surgery $10,574 0.3%
9 Drugs Administered Other than Oral Method $9,052 0.2%
10 Durable Medical Equipment $4,696 0.1%
11 Temporary National Codes (Non-Medicare) $660 <0.1%
12 Medical And Surgical Supplies $15 <0.1%
13 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Northport, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
87633 Resp virus 12-25 targets $227,655 32
87635 Sars-cov-2 covid-19 amp prb $51,561 32
87634 Rsv dna/rna amp probe $43,213 22
87502 Influenza dna amp probe $41,900 22
87651 Strep a dna amp probe $25,942 22
87581 M.pneumon dna amp probe $23,755 22
87486 Chlmyd pneum dna amp probe $23,740 22
87640 Staph a dna amp probe $22,531 22
87641 Mr-staph dna amp probe $20,700 22
87498 Enterovirus probe&revrs trns $19,558 22
87804 Influenza assay w/optic $11,574 24
87798 Detect agent nos dna amp $10,472 1
87880 Strep a assay w/optic $8,989 30
87426 Sarscov coronavirus ag ia $7,998 14
87801 Detect agnt mult dna ampli $5,880 3
83655 Assay of lead $3,930 13
85025 Complete cbc w/auto diff wbc $3,797 25
83970 Assay of parathormone $2,835 11
80061 Lipid panel $2,442 12
85018 Hemoglobin $2,386 76

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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