In 2024, Medicaid providers in Wagoner billed $141,428 for services within the Pathology and Laboratory Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 119.5% rise over the previous year’s $64,431 in claims for the same services.
Medicaid, a public health insurance program managed by states and jointly funded by federal and state governments, covers low-income households, seniors, children, and individuals with disabilities. It is one of the main components of the U.S. health care system, relying on funding from multiple levels of government.
Medicaid funding comes from taxpayers, so shifts in local billing demonstrate how community health care dollars are utilized.
The “Pathology and Laboratory Procedures” category includes Medicaid-billed services that are defined by established HCPCS and CPT code groupings tied to the types of care provided. For this review, each billing code was allocated to a single service category using standardized code prefixes and ranges, supporting accurate, non-duplicative annual and historical comparisons.
While Medicaid spending increased for several service categories, Pathology and Laboratory Procedures was the fifth-largest category in Wagoner by total Medicaid payments for 2024.
Statewide in Oklahoma, Pathology and Laboratory Procedures ranked seventh by Medicaid payment totals in 2024.
Medicaid payments for the Pathology and Laboratory Procedures category in Wagoner expanded by $119,329 over the five years leading to 2024, a 540% increase. Growth rates increased particularly during certain spans, especially in 2022 and 2020.
Though spending for these services was distributed throughout the city, activity was concentrated in a few ZIP codes. Specifically, in 2024, ZIP code 74467 accounted entirely for all $141,428 in payments tied to Pathology and Laboratory Procedures, representing 100% of claims in this category in Wagoner during the year.
Medicaid payments in the Pathology and Laboratory Procedures category were concentrated in a relatively small number of billing codes.
Comparatively, spending in the Pathology and Laboratory Procedures category in Wagoner rose by 119.5% from 2024 to 2023. All Medicaid claims in the city collectively saw a change of 25.5% during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached approximately $871.7 billion in the fiscal year 2023, making up around 18% of all national health expenditures, climbing from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
This reflects a roughly 40% increase over a few years, with much of the growth attributed to higher enrollment and increased service use during and after the pandemic.
Recent federal budget laws set during the Trump administration introduced significant proposals to lower federal Medicaid allocations and implement structural changes. The “One Big Beautiful Bill Act,” passed in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduce policies such as work requirements and increased cost-sharing, which could limit both coverage and funding for certain beneficiaries. These shifts are expected to increase state financial responsibility and restrict the growth of federal contributions, even as Medicaid remains a core part of health coverage for many Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $22,099 | 54.9% |
| 2021 | $34,125 | 54.4% |
| 2022 | $97,498 | 185.7% |
| 2023 | $64,430 | -33.9% |
| 2024 | $141,428 | 119.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,371,302 | 57% |
| 2 | Evaluation and Management | $1,128,342 | 27.1% |
| 3 | Medicine Services and Procedures | $274,238 | 6.6% |
| 4 | Ambulance and Other Transport Services and Supplies | $164,505 | 4% |
| 5 | Pathology and Laboratory Procedures | $141,428 | 3.4% |
| 6 | Dental Services | $65,831 | 1.6% |
| 7 | Surgery | $8,948 | 0.2% |
| 8 | Vision Services | $5,072 | 0.1% |
| 9 | Radiology Procedures | $2,984 | 0.1% |
| 10 | Procedures / Professional Services | $233 | <0.1% |
| 11 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 80307 | Drug test prsmv chem anlyzr | $119,051 | 26 |
| 80053 | Comprehen metabolic panel | $10,456 | 39 |
| 85025 | Complete cbc w/auto diff wbc | $6,126 | 42 |
| 87637 | Sarscov2&inf a&b&rsv amp prb | $1,622 | 1 |
| 83036 | Hemoglobin glycosylated a1c | $1,469 | 8 |
| 84443 | Assay thyroid stim hormone | $1,239 | 6 |
| 80061 | Lipid panel | $884 | 6 |
| 84439 | Assay of free thyroxine | $255 | 2 |
| 81001 | Urinalysis auto w/scope | $177 | 4 |
| 84484 | Assay of troponin quant | $121 | 1 |
| 81003 | Urinalysis auto w/o scope | $24 | 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.
