Pathology and laboratory Medicaid payments reach $154,327 in Granger for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Granger billed a total of $154,327 for Pathology and Laboratory Procedures, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflected a 16.9% rise compared with the $131,993 reported for the same services in 2023.

Medicaid is administered by state governments with joint funding from federal and state sources and covers low-income populations, seniors, children, and people with disabilities, making it a major segment of the U.S. health care landscape. More details on Medicaid funding are provided by the Commonwealth Fund.

Since taxpayer contributions fund Medicaid, variations in local billing reveal how community public health care resources are distributed.

The “Pathology and Laboratory Procedures” group consists of services categorized by care type, sorted using specific HCPCS and CPT code prefixes and numerical ranges. This grouping method allowed for accurate review of related services, prevented double counting, and maintained consistent rankings over time for this analysis.

Spending for Pathology and Laboratory Procedures represented the third-highest Medicaid total among all service categories in Granger in 2024, even as multiple categories saw spending increases.

Statewide, the Pathology and Laboratory Procedures category ranked ninth in Indiana based on total Medicaid payments for 2024.

From 2019 to 2024, Medicaid payments in Granger for Pathology and Laboratory Procedures grew by $94,458, or 157.8%. The most significant annual growth occurred in 2021 and 2020.

Most payments for Pathology and Laboratory Procedures in Granger were concentrated in certain ZIP codes. For 2024, the 46530 ZIP code accounted for $154,327, representing 100% of all local Medicaid payments within this service category.

Within the service category, billing was focused on relatively few HCPCS codes.

Medicaid payments in Granger for Pathology and Laboratory Procedures went up 16.9% between 2024 and 2023. In comparison, all Medicaid claim categories in the city saw a 21.6% change during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, making up about 18% of national health costs. This figure is up from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This change reflects an increase of close to 40% in a short timespan, primarily due to broader enrollment and increased services during and following the pandemic.

Recent federal budget legislation during the Trump administration introduced major proposals to decrease federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years and bring in policies such as work-related requirements and higher cost sharing, which could limit access and funding for certain recipients. These changes are set to shift more fiscal responsibility to states while slowing the growth of federal Medicaid funding, although the program will continue to support millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Granger, Indiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $59,869 156.9%
2021 $186,750 211.9%
2022 $143,750 -23%
2023 $131,992 -8.2%
2024 $154,327 16.9%
Top Categories by Medicaid Payments in Granger, Indiana, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,952,555 81%
2 Medicine Services and Procedures $281,588 11.7%
3 Pathology and Laboratory Procedures $154,327 6.4%
4 Surgery $11,788 0.5%
5 Vision Services $6,085 0.3%
6 Durable Medical Equipment $1,974 0.1%
7 Radiology Procedures $1,748 0.1%
8 Dental Services $1,337 0.1%
9 Drugs Administered Other than Oral Method $2 <0.1%
10 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Granger, Indiana, 2024

HCPCS Code Description Medicaid Payments Claims
87811 Sars-cov-2 covid19 w/optic $56,553 84
87804 Influenza assay w/optic $45,077 57
87880 Strep a assay w/optic $39,961 114
87636 Sarscov2 & inf a&b amp prb $9,399 6
87635 Sars-cov-2 covid-19 amp prb $902 1
81003 Urinalysis auto w/o scope $805 31
83655 Assay of lead $743 4
85025 Complete cbc w/auto diff wbc $281 5
87651 Strep a dna amp probe $245 1
85018 Hemoglobin $188 5
80048 Basic metabolic pnl total ca $94 2
81001 Urinalysis auto w/scope $72 3

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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