Leesburg Medicaid bills for pathology and lab services rise to $4,823 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Leesburg Medicaid providers billed $4,823 for Pathology and Laboratory Procedures services in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an increase of 11% from 2023, when such claims totaled $4,346.

Medicaid is a state-administered health insurance program funded jointly by federal and state governments. The program provides coverage for low-income people, seniors, children, and people with disabilities, making it a key component of the nation’s health care system.

Since Medicaid spending comes from public funds, fluctuations in local billing illustrate how taxpayer dollars are spent on health care services in each area.

The “Pathology and Laboratory Procedures” category includes services grouped by care type, with standardized HCPCS and CPT code ranges. For this report, each billing code was categorized by specific code prefixes and number ranges, allowing related services to be studied together without duplicate counts and enabling consistent rankings over time.

While other service categories saw higher Medicaid spending, Pathology and Laboratory Procedures ranked fourth among service types in Leesburg for total Medicaid payments in 2024.

Statewide, the Pathology and Laboratory Procedures service group ranked third in Alabama by Medicaid payments in 2024.

Over the five years before 2024, Medicaid payments for Pathology and Laboratory Procedures in Leesburg totaled $4,823, reflecting 0% overall growth. However, certain years—including 2023 and 2022—recorded significant year-over-year payment increases.

Though care payments were distributed citywide, most Medicaid spending under the Pathology and Laboratory Procedures category in 2024 came from a small group of ZIP codes. Of these, 35983 accounted for $4,822, representing 100% of such Medicaid payments in Leesburg for the year.

Medicaid payments in the Pathology and Laboratory Procedures category were also concentrated in just a few individual billing codes.

Comparatively, Pathology and Laboratory Procedures Medicaid payments in Leesburg climbed 11% between 2024 and 2023, while overall Medicaid category payments in the city increased by 18.8% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined Medicaid expenditures from state and federal sources totaled approximately $871.7 billion in fiscal year 2023, representing about 18% of total national health care spending and marking a sharp rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump equals roughly 40% in several years, largely due to expanded enrollment and increased service use during and after the pandemic.

Federal budget measures under the Trump administration, such as the “One Big Beautiful Bill Act,” signed in 2025, are slated to reduce federal Medicaid spending by more than $1 trillion during the next decade. The law imposes new work requirements and higher cost-sharing, potentially limiting coverage and funding for certain beneficiaries. These changes are expected to shift additional costs to the states and slow the pace of federal Medicaid funding growth, even as tens of millions of Americans remain enrolled in the program.

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

Year Total Medicaid Payments % Change From Previous Year
2023 $4,346
2024 $4,822 11%
Top Categories by Medicaid Payments in Leesburg, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $32,974 51.7%
2 Evaluation and Management $15,966 25%
3 Dental Services $10,068 15.8%
4 Pathology and Laboratory Procedures $4,822 7.6%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Leesburg, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
87426 Sarscov coronavirus ag ia $2,222 5
87804 Influenza assay w/optic $1,790 5
87880 Strep a assay w/optic $809 4

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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