Youngsville Medicaid payments for pathology and lab procedures rise to $56,836 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Youngsville submitted $56,836 in claims for Pathology and Laboratory Procedures, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 47.5% rise over 2023, when the total was $38,535 for the same category of services.

Medicaid, a public insurance program overseen by states and funded through a partnership of federal and state governments, provides coverage for low-income families, seniors, children, and individuals with disabilities. The program represents one of the largest components in the U.S. health care system.

Because Medicaid is taxpayer-funded, fluctuations in local billing help indicate how health care resources are distributed within a community.

The “Pathology and Laboratory Procedures” designation covers various Medicaid services classified by care type, based on standard HCPCS and CPT code groupings. For this assessment, each code was grouped under one service category using consistent prefixes and ranges, ensuring related services were analyzed together while maintaining accurate category rankings over time.

While Medicaid payments saw growth in several service areas, Pathology and Laboratory Procedures was the fourth-largest category in Youngsville by total payments for 2024.

Statewide in Louisiana, Pathology and Laboratory Procedures ranked seventh among all categories for Medicaid disbursements in 2024.

Between 2019 and 2024, Medicaid payments connected to Pathology and Laboratory Procedures in Youngsville rose by $38,857, or 216.1%. Growth was especially pronounced during some periods, with significant increases noted year over year in 2021 and 2022.

Payment distributions for the Pathology and Laboratory Procedures category were widespread but primarily concentrated within a few ZIP codes. In 2024, ZIP code 70592 accounted for $56,835, which represented 100% of the Medicaid payouts for this service category in Youngsville that year.

Most Medicaid allocations under Pathology and Laboratory Procedures were linked to a limited set of billing codes.

To compare, Pathology and Laboratory Procedures Medicaid payments in Youngsville went up 47.5% from 2023 to 2024, in contrast to a 14.4% change seen across all Medicaid service categories in the city for that timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total national health expenditures and increasing sharply from $613.5 billion in 2019, before the arrival of COVID-19.

This represents about 40% growth over several years, primarily due to expanded enrollment and increased usage during and after the pandemic.

Recent federal legislation from the Trump administration has proposed and enacted substantial reductions to Medicaid funding levels and changes to the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funding by over $1 trillion over the coming decade and introduces measures such as work requirements and higher cost-sharing, which may reduce coverage and funding for select beneficiaries. These federal adjustments are projected to transfer more financial responsibility to states and constrain federal Medicaid growth, even as the program remains a key coverage source for millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Youngsville, Louisiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $17,979 -26.1%
2021 $57,733 221.1%
2022 $49,299 -14.6%
2023 $38,535 -21.8%
2024 $56,835 47.5%
Top Categories by Medicaid Payments in Youngsville, Louisiana, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $1,540,878 71.6%
2 Evaluation and Management $427,715 19.9%
3 Anesthesia $82,799 3.8%
4 Pathology and Laboratory Procedures $56,835 2.6%
5 Dental Services $26,448 1.2%
6 Medicine Services and Procedures $10,086 0.5%
7 National Codes Established for State Medicaid Agencies $6,359 0.3%
8 Ambulance and Other Transport Services and Supplies $1,488 0.1%
9 Procedures / Professional Services $260 <0.1%
10 Drugs Administered Other than Oral Method $90 <0.1%
11 Surgery $68 <0.1%
12 Alcohol and Drug Abuse Treatment $35 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Youngsville, Louisiana, 2024

HCPCS Code Description Medicaid Payments Claims
87811 Sars-cov-2 covid19 w/optic $30,833 47
87804 Influenza assay w/optic $16,174 51
87880 Strep a assay w/optic $7,990 56
87428 Sarscov & inf vir a&b ag ia $1,322 4
87807 Rsv assay w/optic $457 3
81003 Urinalysis auto w/o scope $56 5

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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