Los Alamitos Medicaid spending on pathology and lab services reaches $216,393 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Los Alamitos billed $216,393 for services classified in the Pathology and Laboratory Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflected a 4.5% increase over 2023, when claims for this service type totaled $207,001.

Medicaid is a state-managed public health insurance program jointly funded by federal and state governments. It provides coverage for low-income people, families, seniors, children, and individuals with disabilities, making it one of the largest components of the U.S. health care system. For more details, see the Commonwealth Fund Medicaid explainer.

Since Medicaid funding comes from taxpayers, shifts in local billing trends reflect the allocation of public health care resources within the community.

The “Pathology and Laboratory Procedures” category covers a set of Medicaid services defined by the specific care provided, based on standardized HCPCS and CPT code groups. This analysis assigns billing codes to unique service categories using systematic code ranges and prefixes, allowing similar services to be considered together while avoiding duplication and maintaining reliable annual rankings.

Pathology and Laboratory Procedures was the sixth-largest Medicaid payment category in Los Alamitos for 2024, though growth was observed in several categories.

Statewide in California, Pathology and Laboratory Procedures ranked fifth among Medicaid payment categories in 2024.

Comparing figures over a five-year period through 2024, Medicaid payments connected to the Pathology and Laboratory Procedures category in Los Alamitos rose by $106,298, or 96.6%. The increase accelerated at certain times, particularly in 2022 and 2023.

Although payments for pathology and laboratory care were distributed across Los Alamitos, most Medicaid payments concentrated in a small number of ZIP codes. In 2024, ZIP code 90720 accounted for $216,392, and this single ZIP code made up 100% of all Medicaid spending in this category in the city that year.

A small group of individual billing codes accounted for most Medicaid payments processed in the Pathology and Laboratory Procedures category.

When comparing year-over-year changes, Medicaid payments for this category in Los Alamitos were up 4.5% between 2024 and 2023, whereas total Medicaid claims in all categories for the city climbed by 23.2% during the same interval.

The Centers for Medicare & Medicaid Services report federal and state Medicaid spending combined was about $871.7 billion for fiscal year 2023, which made up around 18% of all national health costs—-an increase from $613.5 billion in 2019 before the COVID-19 pandemic.

This increase reflects around 40% growth over several years, largely due to higher enrollment and increased service use driven by the pandemic and its aftermath.

The Trump administration enacted federal budget measures in recent years that introduced significant Medicaid funding reductions and program structural changes. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the next decade, adding work requirements and higher cost-sharing, which could decrease coverage and funding for certain recipients. These changes are anticipated to create additional cost burdens for states and may limit how fast federal Medicaid dollars grow, despite the program continuing to serve millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Los Alamitos, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $110,095 -30.6%
2021 $100,257 -8.9%
2022 $157,159 56.8%
2023 $207,000 31.7%
2024 $216,392 4.5%
Top Categories by Medicaid Payments in Los Alamitos, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $2,032,051 39.8%
2 Evaluation and Management $1,864,235 36.5%
3 Radiology Procedures $249,359 4.9%
4 Durable Medical Equipment $235,641 4.6%
5 Anesthesia $233,700 4.6%
6 Pathology and Laboratory Procedures $216,392 4.2%
7 Drugs Administered Other than Oral Method $46,732 0.9%
8 Dental Services $45,777 0.9%
9 Alcohol and Drug Abuse Treatment $43,302 0.8%
10 Chemotherapy Drugs $36,586 0.7%
11 Coronavirus Diagnostic Panel $35,540 0.7%
12 Medical And Surgical Supplies $33,464 0.7%
13 Procedures / Professional Services $15,634 0.3%
14 Surgery $7,378 0.1%
15 Temporary Codes $6,814 0.1%
16 Administrative, Miscellaneous and Investigational $2,628 0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Los Alamitos, California, 2024

HCPCS Code Description Medicaid Payments Claims
87635 Sars-cov-2 covid-19 amp prb $35,154 12
87502 Influenza dna amp probe $31,846 23
85025 Complete cbc w/auto diff wbc $20,538 35
80053 Comprehen metabolic panel $20,189 30
84484 Assay of troponin quant $14,427 22
80307 Drug test prsmv chem anlyzr $12,159 14
87637 Sarscov2&inf a&b&rsv amp prb $10,919 7
87631 Resp virus 3-5 targets $9,562 13
83880 Assay of natriuretic peptide $9,412 21
80048 Basic metabolic pnl total ca $9,257 22
83690 Assay of lipase $6,513 21
81001 Urinalysis auto w/scope $4,459 23
80076 Hepatic function panel $2,957 19
84703 Chorionic gonadotropin assay $2,907 18
83605 Assay of lactic acid $2,792 19
84443 Assay thyroid stim hormone $2,630 20
87040 Blood culture for bacteria $2,582 18
83735 Assay of magnesium $2,454 21
87086 Urine culture/colony count $2,146 20
83036 Hemoglobin glycosylated a1c $1,658 16

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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