Grant Medicaid spending for pathology and laboratory procedures climbs to $278 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Grant received $278 in payments for services categorized under Pathology and Laboratory Procedures, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 69.5% increase from 2023, when providers billed $164 for these services.

Medicaid, funded jointly by the federal government and the states, provides health insurance for low-income residents, elderly individuals, children, and people with disabilities, making it a key part of the U.S. health care framework.

Since Medicaid funding is sourced from taxpayers, shifts in billing locally illustrate how public health care resources are distributed within communities.

The “Pathology and Laboratory Procedures” service category includes Medicaid-billed services defined by the kind of care rendered and standardized via HCPCS and CPT code groupings. In this report, each code was matched to one service category with consistent code ranges and prefixes, which allows for clear analysis of associated services and accurate tracking over time while avoiding duplication.

While several Medicaid service categories in Grant experienced higher billing, Pathology and Laboratory Procedures ranked sixth by total spending for 2024.

Statewide for Michigan, Pathology and Laboratory Procedures ranked ninth for Medicaid payments in 2024.

Looking at the period from five years before 2024, Medicaid spending in Grant for Pathology and Laboratory Procedures rose by $110, or 28.3%. More rapid increases occurred during certain intervals, with sizable gains registered in 2022.

A limited number of ZIP codes made up the majority of Medicaid claims in this category in 2024. The top ZIP code, 49327, alone contributed a total of $278—meaning the leading 1 ZIP code represented 100.2% of Medicaid spending on Pathology and Laboratory Procedures in Grant that year.

Payments within the Pathology and Laboratory Procedures class were similarly concentrated among a small set of billing codes.

Relative to the 69.5% growth in Pathology and Laboratory Procedures payments between 2024 and 2023 in Grant, overall citywide Medicaid payments across all claim categories increased by 20.8% in the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up around 18% of nationwide health spending. That figure was up significantly from nearly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This marks approximately 40% growth in just a few years, largely attributed to increased enrollment and greater service utilization stemming from and following the pandemic.

Recent federal budget measures authorized during the Trump administration included notable initiatives aimed at reducing overall federal Medicaid payments and adjusting the structure of the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to trim over $1 trillion from federal Medicaid spending over 10 years, establishing new policies such as work requirements and expanded cost-sharing—changes that could restrict access and funding for some eligible groups. These adjustments are set to shift additional responsibility to state governments and temper the pace of federal Medicaid outlay increases, even as the program remains critical for tens of millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Grant, Michigan Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $387 -35.7%
2021 $178 -53.9%
2022 $321 80.1%
2023 $163 -49%
2024 $278 69.8%
Top Categories by Medicaid Payments in Grant, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Procedures / Professional Services $230,696 49.4%
2 National Codes Established for State Medicaid Agencies $207,911 44.5%
3 Evaluation and Management $16,416 3.5%
4 Medicine Services and Procedures $9,447 2%
5 Alcohol and Drug Abuse Treatment $1,946 0.4%
6 Pathology and Laboratory Procedures $278 0.1%
7 Surgery $65 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Grant, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
87428 Sarscov & inf vir a&b ag ia $116 2
87880 Strep a assay w/optic $62 1
83036 Hemoglobin glycosylated a1c $56 10
87804 Influenza assay w/optic $41 2
81003 Urinalysis auto w/o scope $1 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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