Pathology and laboratory Medicaid claims in Algonquin climb to $98,739 in 2024

In 2024, Algonquin Medicaid providers billed $98,739 for Pathology and Laboratory Procedures services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflected a 314.4% increase over 2023, which saw $23,826 in claims for the same services.

Medicaid is a state-administered health insurance program funded by both federal and state governments. It provides coverage for low-income individuals and families, children, seniors, and persons with disabilities, making it a central part of the U.S. health care landscape.

Shifts in Medicaid billing demonstrate how localities allocate taxpayer-funded resources for public health services.

The “Pathology and Laboratory Procedures” label covers Medicaid-billed services grouped according to standardized HCPCS and CPT code ranges. For this analysis, each billing code corresponded to one service category using established prefixes and numeric sequences, grouping similar services together to avoid duplication and support accurate rankings.

While Medicaid payments went up in several service areas, Pathology and Laboratory Procedures received more Medicaid funding than any other category in Algonquin in 2024.

For Illinois as a whole, the Pathology and Laboratory Procedures category was fourth in overall Medicaid payments for 2024.

Looking at the years preceding 2024, Algonquin’s Medicaid payments for Pathology and Laboratory Procedures grew by $98,739, or 0%, with accelerated increases occurring at certain intervals—particularly in 2023 and 2022.

Medicaid spending in this category was not evenly spread; most payments were made in a small number of ZIP codes. The area with the highest payments, ZIP code 60102, accounted for $98,738 of services in 2024, representing the entire annual total for the category in Algonquin.

Within this group, most Medicaid payments were tied to a small set of billing codes.

In comparison, Medicaid payments tied to this category rose 314.4% from 2023 to 2024 in Algonquin, while aggregate payments across all Medicaid-billed categories rose by 41.5% in the city during that span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending collectively totaled around $871.7 billion for fiscal year 2023, making up an estimated 18% of national health expenditures. This is up from approximately $613.5 billion in 2019, before the pandemic.

This marks an approximate 40% increase within several years, mainly due to expanded enrollment and higher use of services as the pandemic subsided.

Recent federal budgets under the Trump administration featured major proposals to cut federal Medicaid spending and alter the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion over the decade, introduce work requirements, and expand cost-sharing, potentially limiting funding or coverage for certain participants. Projected effects include shifting more financial responsibility to states and curbing federal Medicaid’s growth, even as the program’s enrollment remains high.

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.