In 2024, Medicaid providers in Allardt billed $671 for services under the Pathology and Laboratory Procedures category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 69% jump from 2023, when local providers billed $397 for these services.
Medicaid, run by states and funded in partnership by federal and state governments, insures low-income individuals, families, seniors, children, and people with disabilities. It serves as a cornerstone of the U.S. health care system based on participation levels.
Because Medicaid is taxpayer-funded, shifts in local billing illustrate how community health care funds are disbursed.
The “Pathology and Laboratory Procedures” group includes selected Medicaid-billed services according to type, assigned via standardized HCPCS and CPT code prefixes and number sequences. That system ensures closely related services are grouped together, avoids double-counting, and allows consistent tracking across time.
Though payments rose in several service groups, Pathology and Laboratory Procedures took the No. 2 spot for Allardt Medicaid payment totals in 2024.
Across Tennessee, Pathology and Laboratory Procedures ranked sixth by Medicaid payment totals in 2024.
From 2019 through 2024, Medicaid payments connected with Pathology and Laboratory Procedures in Allardt grew by $671, marking a 0% change. Some years, including 2022 and 2023, saw sharper growth within that period.
Most Medicaid payments for Pathology and Laboratory Procedures in 2024 came from a small set of ZIP codes. ZIP code 38504 led with $671 in authorized payments for these services. That single ZIP code made up 100.1% of the city’s spend in this category for the year.
Certain billing codes within Pathology and Laboratory Procedures accounted for the bulk of Medicaid payments in 2024 in Allardt.
Year over year, Allardt Medicaid payments for Pathology and Laboratory Procedures jumped 69% between 2024 and 2023, compared with a 16.2% change for all local Medicaid claim categories during the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached roughly $871.7 billion in fiscal 2023, accounting for approximately 18% of all national health spending, a significant rise from $613.5 billion in 2019 right before the COVID-19 pandemic.
This 40% surge in just a few years has been fueled by expanded Medicaid enrollment and greater health care utilization amid and following pandemic conditions.
Legislation passed during the Trump administration introduced major initiatives to pare down federal Medicaid funding and modify the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid dollars by over $1 trillion over 10 years while imposing new work requirements and cost-sharing. These policies may curb coverage and support for some recipients and could push more costs onto states even as Medicaid continues serving tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $797 | – |
| 2023 | $397 | -50.1% |
| 2024 | $671 | 68.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $27,473 | 95.2% |
| 2 | Pathology and Laboratory Procedures | $671 | 2.3% |
| 3 | Medicine Services and Procedures | $665 | 2.3% |
| 4 | Drugs Administered Other than Oral Method | $33 | 0.1% |
| 5 | Surgery | $19 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Sars-cov-2 covid19 w/optic | $423 | 1 |
| 87880 | Strep a assay w/optic | $247 | 2 |
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.
