Medicaid payments for pathology and lab procedures in Erin rise 15% to $51,859 in 2024

Medicaid providers in Erin billed $51,859 for Pathology and Laboratory Procedures services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 15.1% increase over 2023, when providers billed $45,059 for the same category of services.

Medicaid is a public health insurance program administered by the states and financed collaboratively by federal and state governments. It serves low-income residents, seniors, children, and those with disabilities, making up a major segment of the U.S. health care system.

Given that Medicaid funding relies on taxpayers, shifts in local billing patterns reveal how public health care funds are allocated within a community.

The “Pathology and Laboratory Procedures” group represents diverse Medicaid services categorized by the kind of care provided, as defined through standard HCPCS and CPT coding groups. For this report, codes were assigned to a single service category with consistent prefixes and number ranges, enabling grouped analysis while avoiding duplication and preserving accurate rankings.

Although Medicaid expenditures rose across several categories, Pathology and Laboratory Procedures ranked second in Erin for total Medicaid payments in 2024.

Statewide in Tennessee, this category stood sixth in total Medicaid payments for 2024.

From five years prior to 2024, Medicaid payments linked to Pathology and Laboratory Procedures in Erin climbed by $45,666, or 737.3%. The pace of spending growth varied, with significant jumps seen in 2021 and 2023.

While spending for Pathology and Laboratory Procedures occurred throughout Erin, payments were primarily concentrated in a small number of ZIP codes. In 2024, ZIP code 37061 accounted for all Medicaid payments for this category, totaling $51,859—representing 100% of such payments in Erin that year.

Within this category, Medicaid expenditures were focused on a select group of billing codes.

Comparatively, Medicaid spending on Pathology and Laboratory Procedures in Erin grew by 15.1% from 2023 to 2024, while the city’s overall Medicaid spending across all claim categories increased by 4.6% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in the 2023 fiscal year—or about 18% of all national health spending. This is up from approximately $613.5 billion in 2019, in the period before the COVID-19 pandemic.

This increase marks roughly 40% growth within just a few years, fueled mainly by expanded enrollment and rising utilization during and after the pandemic timeline.

Recent federal budget measures enacted during the Trump administration include major proposals to reduce federal Medicaid support and modify the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over 10 years and introduces work requirements and increased cost-sharing measures that could reduce benefits and funding access for some groups. These changes are set to pass more financial responsibility to states and restrain federal Medicaid growth, even as the program continues to support millions nationwide.

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.