Seiling Medicaid spending on pathology and laboratory procedures rises to $5,039 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid providers in Seiling billed $5,039 for pathology and laboratory procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 92.8% jump from 2023, when providers submitted $2,613 in claims for the same category of service.

Medicaid is a state-managed health insurance program funded jointly by federal and state governments. It serves low-income people, children, seniors and individuals with disabilities, standing as one of the largest components of the U.S. health care system.

As Medicaid is funded through taxpayer dollars, fluctuations in local billing reflect how public health care resources are distributed in communities.

The “Pathology and Laboratory Procedures” category groups services Medicaid bills under specific care types, organized by HCPCS and CPT code groupings. Each billing code for this analysis was mapped to one service category, ensuring codes were not double-counted and allowing for consistent rankings over time.

Although Medicaid spending grew across several service categories in Seiling, pathology and laboratory procedures accounted for the second-highest Medicaid billing total in 2024.

Statewide in Oklahoma, this category ranked seventh for total Medicaid payments in 2024.

Between 2019 and 2024, Seiling saw Medicaid payments in pathology and laboratory procedures climb by $3,876, an increase of 333.3%. Periods like 2020 and 2021 highlighted accelerated year-over-year growth in this spending category.

Spending for pathology and laboratory procedures was evident across Seiling, but payments were primarily located in a small number of ZIP codes. In 2024, ZIP code 73663 made up the city’s total, amounting to all $5,039 billed. This single ZIP code accounted for 100% of these Medicaid payments citywide in 2024.

Within the pathology and laboratory procedures category, most Medicaid funds were limited to a select group of billing codes.

Comparing the growth, Seiling saw Medicaid payments related to pathology and laboratory procedures rise by 92.8% between 2024 and 2023, while the overall change for all Medicaid claims in the city during the same period was 0.9%.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, representing about 18% of national health expenditures, which is up sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth reflects nearly a 40% increase over just a few years, mainly due to expanded enrollment and increased use during and after the pandemic.

Federal budget changes under the Trump administration have introduced major proposals to cut Medicaid funding and alter the program structure. The “One Big Beautiful Bill Act,” which became law in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the next decade, with changes like work requirements and higher cost-sharing. These policies may lower federal coverage and funding for some recipients and are expected to push a greater share of costs to states even as Medicaid covers millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Seiling, Oklahoma Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,162 517.4%
2021 $5,397 364.2%
2022 $10,476 94.1%
2023 $2,613 -75.1%
2024 $5,039 92.8%
Top Categories by Medicaid Payments in Seiling, Oklahoma, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $91,020 93.7%
2 Pathology and Laboratory Procedures $5,039 5.2%
3 Medicine Services and Procedures $743 0.8%
4 Surgery $342 0.4%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Seiling, Oklahoma, 2024

HCPCS Code Description Medicaid Payments Claims
87635 Sars-cov-2 covid-19 amp prb $3,606 5
87400 Influenza a/b each ag ia $649 2
87804 Influenza assay w/optic $430 2
87880 Strep a assay w/optic $352 2

Note: HCPCS codes are provided for reference in this category. Article totals and rankings reflect aggregated groupings of services and are not based on individual billing codes.

Information for this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original dataset is available here.



Related

Dr. Mehmet Oz CMS Administrator

Medicaid spending for ambulance and transport services surges 41.2% in Shattuck in 2024

Shattuck saw Medicaid payments for Ambulance and Other Transport Services and Supplies jump 41.2% in 2024, highlighting shifts in local usage and reimbursement rates.

Dr. Mehmet Oz CMS Administrator

Laverne Medicaid payments increase 63.8% in 2024 for National Codes Established category

Laverne saw a 63.8% increase in Medicaid payments for services categorized under National Codes Established for State Medicaid Agencies in 2024, signaling shifts in how services are billed and reimbursed locally.

Dr. Mehmet Oz CMS Administrator

Surgery-related Medicaid payments in Alva climbed to $2,886 in 2024

Medicaid reimbursements for the Surgery service category in Alva surged by 655.5% in 2024, indicating notable shifts in billing and payment trends.