Union City Medicaid Pathology, Lab Procedures Claims Reach $236,351 for 2024

Union City Medicaid providers submitted $236,351 in claims for Pathology and Laboratory Procedures during 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure shows a 45.4% increase over 2023, when these claims totaled $162,563.

Medicaid is a publicly funded health insurance program operated by states and jointly funded by federal and state governments. The program covers low-income families and individuals, seniors, children, and people with disabilities, making it one of the largest segments of the U.S. health care system. More details are available from the Commonwealth Fund.

Since Medicaid is financed with taxpayer funds, adjustments in local billing illustrate how public health care resources are distributed within the community.

The “Pathology and Laboratory Procedures” classification encompasses a range of Medicaid-billed services organized by standardized HCPCS and CPT code groupings. For this analysis, each billing code was mapped to a single service category using systematic code prefixes and numeric spans, permitting evaluation of related services as a group while preventing duplication and ensuring accurate rankings over time.

Although Medicaid outlays increased in several service categories, Pathology and Laboratory Procedures ranked fourth in total Medicaid payments in Union City for 2024.

Statewide, Pathology and Laboratory Procedures ranked sixth among all categories by total Medicaid payments in Tennessee in 2024.

Between 2019 and 2024, Medicaid payments connected to Pathology and Laboratory Procedures in Union City rose by $134,231, or 131.4%. Certain periods, such as 2021 and 2022, saw particularly large year-over-year increases in spending.

Though spending in the Pathology and Laboratory Procedures category was spread across Union City, payment volumes were concentrated in a select few ZIP codes. In 2024, the highest Medicaid payments for this category came from ZIP code 38261 with $236,225 and 38281 with $126. Combined, these 2 ZIP codes represented 100% of all Medicaid payments for Pathology and Laboratory Procedures in Union City during the year.

Within the Pathology and Laboratory Procedures group, Medicaid payments were centered among a small set of specific billing codes.

To compare, Medicaid payments for Pathology and Laboratory Procedures in Union City increased 45.4% from 2023 to 2024, while overall Medicaid claim categories in the city rose by 9.3% in the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, accounting for roughly 18% of all national health costs and rising sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

The increase represents growth of about 40% in only a few years, largely fueled by expanded enrollment and higher service usage during and following the pandemic.

Recent federal budget bills enacted under the Trump administration included major proposals to cut federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid spending by over $1 trillion over the next decade, introducing measures such as work requirements and greater cost-sharing that could reduce coverage and funding for some recipients. These changes are projected to shift more responsibility to state budgets and limit federal Medicaid growth, while the program still serves tens of millions of Americans.

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.