Medicaid spending linked to pathology and laboratory services climbs to $2,668 in Everson for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In Everson, Medicaid providers billed a total of $2,668 in 2024 for Pathology and Laboratory Procedures services, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This figure reflects an 80.5% jump compared with the prior year, when billings for these services totaled $1,478.

Medicaid is a state-run health insurance program funded in partnership with the federal and state governments. The program serves low-income people and families, seniors, children and persons with disabilities, making it a central component of the U.S. health care system.

Since taxpayer funds support Medicaid payments, shifts in billing highlight how local health care money is distributed across communities.

The “Pathology and Laboratory Procedures” grouping represents various Medicaid claims defined according to type of care, with grouping determined by standardized HCPCS and CPT code ranges. The analysis attributed each billing code to only one service group, using these coding conventions to maintain accurate service rankings and prevent double counting.

Spending increased for several Medicaid service categories, but Pathology and Laboratory Procedures stood as the fourth-highest category by total Medicaid payments in Everson in 2024.

Statewide, Pathology and Laboratory Procedures ranked fifth in Washington for overall Medicaid payment volume for 2024.

During the five years before 2024, Medicaid billing for Pathology and Laboratory Procedures in Everson grew by $2,668, which translates to 0%. Periods of rapid year-over-year spending growth appeared in 2023 and 2022.

Medicaid payments linked to Pathology and Laboratory Procedures were distributed throughout Everson but were concentrated in a few ZIP codes. In 2024, ZIP code 98247 represented all ($2,668) of these Medicaid payments. This ZIP code alone accounted for 100% of local Medicaid spending for the category that year.

Only a small subset of billing codes accounted for the bulk of Medicaid payments within the Pathology and Laboratory Procedures category.

Comparing across reimbursement groups, Pathology and Laboratory Procedures payments in Everson rose 80.5% from 2023 to 2024, while total Medicaid claims for all categories citywide grew by 22.6% during the same interval.

Centers for Medicare & Medicaid Services data reports that combined federal and state Medicaid expenditures reached around $871.7 billion in fiscal 2023. That figure equals roughly 18% of national health care expenditures and has surged compared with $613.5 billion spent in 2019, prior to the COVID-19 emergency.

This 40% increase came in just a few years, largely attributed to more enrollees and higher service utilization during and after the pandemic period.

Recent federal budget changes signed during the Trump administration propose notable reductions in federal Medicaid allocations and introduce program restructuring. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is set to trim federal Medicaid spending by more than $1 trillion over a decade and incorporates policy measures like work mandates and greater cost sharing. These shifts may constrain federal support growth and ramp up state funding responsibilities, despite Medicaid continuing to support tens of millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Everson, Washington Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2022 $2,599
2023 $1,477 -43.2%
2024 $2,668 80.5%
Top Categories by Medicaid Payments in Everson, Washington, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $5,858,400 93.5%
2 Medicine Services and Procedures $365,776 5.8%
3 Evaluation and Management $38,066 0.6%
4 Pathology and Laboratory Procedures $2,668 <0.1%
5 Dental Services $1,638 <0.1%
6 Alcohol and Drug Abuse Treatment $1,200 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Everson, Washington, 2024

HCPCS Code Description Medicaid Payments Claims
87426 Sarscov coronavirus ag ia $1,270 3
87804 Influenza assay w/optic $755 3
83036 Hemoglobin glycosylated a1c $245 2
80305 Drug test prsmv dir opt obs $142 1
87880 Strep a assay w/optic $105 1
82948 Reagent strip/blood glucose $78 1
81002 Urinalysis nonauto w/o scope $71 2

Note: HCPCS codes appear for category context. Article category totals and rankings rely on standardized service groupings and do not reflect individual billing code tallies.

The U.S. Department of Health and Human Services Medicaid Provider Spending database supplied the information for this article. The original data can be located here.



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