Pathology and laboratory Medicaid payments in Bisbee reach $505,149 in 2024, up 2.4% over prior year

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Bisbee received $505,149 for services in the Pathology and Laboratory Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This marked an increase of 2.4% over 2023, when $493,450 was billed for these services.

Medicaid is a state-run public health insurance program financed jointly by state and federal governments. The program insures low-income families, seniors, children, and individuals with disabilities, making it a major component of the country’s health care system.

Since Medicaid funding is sourced from taxpayers, variations in community billing rates provide insight into how public health care dollars are spent locally.

The “Pathology and Laboratory Procedures” classification groups Medicaid-billed services by the type of care, using HCPCS and CPT code groupings. For this report, each billing code was categorized into a single service group using uniform prefixes and numeric ranges, which enabled analysis across related services and ensured no double counting while maintaining accurate rankings over time.

Medicaid expenditures increased across many categories, with Pathology and Laboratory Procedures ranking fourth in Bisbee by total Medicaid payments for 2024.

Statewide, Pathology and Laboratory Procedures was the eighth-largest category by Medicaid payment in Arizona for 2024.

From 2020 to 2024, Bisbee’s Medicaid payments for the Pathology and Laboratory Procedures category grew by $256,954, or 103.5%. There were periods with stronger year-to-year growth, notably in 2023 and 2021.

Although Medicaid spending for the Pathology and Laboratory Procedures category was dispersed throughout Bisbee, a few ZIP codes saw concentration. In 2024, the majority of payments were linked to ZIP code 85603, accounting for $505,149. Altogether, the top ZIP code represented 100% of Medicaid payments in this category in Bisbee that year.

Within this service category, Medicaid funds were heavily allocated to just a few procedure codes.

Between 2024 and 2023, Medicaid payments for the Pathology and Laboratory Procedures category in Bisbee rose by 2.4%, while payments across all claim categories citywide grew by 25.2% for the same span.

Centers for Medicare & Medicaid Services data show that in fiscal year 2023, joint federal and state Medicaid spending totaled about $871.7 billion—approximately 18% of all national health expenditures—marking a sharp rise from around $613.5 billion in 2019, before the pandemic.

This increase reflects about 40% growth over several years, driven by enlarged enrollment and greater medical usage through and following the pandemic.

Recent federal budgets under the Trump administration have introduced major proposals to lower federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to cut over $1 trillion in federal Medicaid funding over the next 10 years and brings policy changes like work requirements and higher cost-sharing, which may decrease benefits and funding for some enrollees. These changes are projected to shift costs to states and slow the expansion of federal Medicaid contributions, while the program remains critical for millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Bisbee, Arizona Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $248,195 -19%
2021 $307,947 24.1%
2022 $364,828 18.5%
2023 $493,449 35.3%
2024 $505,149 2.4%
Top Categories by Medicaid Payments in Bisbee, Arizona, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $3,573,507 45.8%
2 National Codes Established for State Medicaid Agencies $1,602,761 20.5%
3 Radiology Procedures $1,570,095 20.1%
4 Pathology and Laboratory Procedures $505,149 6.5%
5 Medicine Services and Procedures $382,775 4.9%
6 Ambulance and Other Transport Services and Supplies $136,796 1.8%
7 Surgery $31,658 0.4%
8 Procedures / Professional Services $373 <0.1%
9 Anesthesia $0 <0.1%
10 Medical And Surgical Supplies $0 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Bisbee, Arizona, 2024

HCPCS Code Description Medicaid Payments Claims
80053 Comprehen metabolic panel $190,621 12
88305 Tissue exam by pathologist $132,020 11
87635 Sars-cov-2 covid-19 amp prb $67,024 12
80074 Acute hepatitis panel $18,018 9
83970 Assay of parathormone $17,568 11
87491 Chlmyd trach dna amp probe $12,881 12
82306 Vitamin d 25 hydroxy $7,465 12
84439 Assay of free thyroxine $6,284 12
83880 Assay of natriuretic peptide $5,862 12
83550 Iron binding test $5,321 12
83516 Immunoassay nonantibody $3,846 2
80307 Drug test prsmv chem anlyzr $3,393 12
82043 Ur albumin quantitative $3,015 12
80061 Lipid panel $2,637 12
85025 Complete cbc w/auto diff wbc $2,563 12
86803 Hepatitis c ab test $2,410 10
88342 Imhchem/imcytchm 1st antb $2,262 1
83002 Assay of gonadotropin (lh) $2,226 2
84443 Assay thyroid stim hormone $2,224 12
87804 Influenza assay w/optic $2,214 21

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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