Glen Rose Medicaid payments for pathology and lab procedures up 82.8% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Glen Rose billed a total of $2,727 for Pathology and Laboratory Procedures services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 82.8% rise compared with 2023, when $1,492 was billed for the same services.

Medicaid is a government-run health insurance program managed by the states and funded by both federal and state governments. It provides coverage for low-income residents, seniors, children, and individuals with disabilities and is one of the country’s largest health care programs.

Since Medicaid payments are funded by taxpayers, shifts in local billing reflect the allocation of public health funding within a community.

The “Pathology and Laboratory Procedures” classification encompasses Medicaid-billed services sorted by care type, based on standardized HCPCS and CPT code groupings. For this report, every billing code was assigned to a sole service category using uniform code prefixes and number ranges, ensuring like services were grouped while avoiding duplicate counting and maintaining accurate category rankings over time.

Spending in multiple Medicaid service categories grew, with Pathology and Laboratory Procedures ranking third in Glen Rose for total Medicaid payments in 2024.

Statewide in Texas, Pathology and Laboratory Procedures held the sixth spot in total Medicaid payments for 2024.

Across the five years ending in 2024, Medicaid payments linked to Pathology and Laboratory Procedures in Glen Rose increased by $2,727, or 0%. Growth in spending picked up in certain years, with significant year-over-year increases noted in 2022 and 2022.

While payments for Pathology and Laboratory Procedures were reported throughout Glen Rose, a small number of ZIP codes accounted for most of the spending. In 2024, ZIP code 76043 saw Medicaid payments reach $2,726 for these services. The top single ZIP code represented 100% of all Medicaid payments for Pathology and Laboratory Procedures in Glen Rose that year.

Within Pathology and Laboratory Procedures, the bulk of Medicaid payments were tied to a few specific billing codes.

Comparatively, the 82.8% jump in Medicaid payments for Pathology and Laboratory Procedures in Glen Rose from 2023 to 2024 outpaced the 57.2% change seen across all local Medicaid claim types in the same timeframe.

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

This jump represents nearly 40% growth over several years, mostly driven by a greater number of enrollees and increased use of services following the pandemic period.

Recent federal budget measures passed during the Trump administration include major proposals to scale back federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by over $1 trillion over the coming decade. It also brings new work requirements and higher cost-sharing, which could mean fewer benefits or less funding for certain enrollees. As a result, states may take on more expenses and face slower growth in federal Medicaid support despite the program continuing to provide coverage for tens of millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Glen Rose, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $625
2022 $2,594 314.4%
2023 $1,491 -42.5%
2024 $2,726 82.8%
Top Categories by Medicaid Payments in Glen Rose, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Ambulance and Other Transport Services and Supplies $52,752 76.4%
2 Evaluation and Management $13,358 19.3%
3 Pathology and Laboratory Procedures $2,726 3.9%
4 Medicine Services and Procedures $248 0.4%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Glen Rose, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
87502 Influenza dna amp probe $2,050 1
87635 Sars-cov-2 covid-19 amp prb $675 1

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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