In 2024, Interlachen Medicaid providers billed $114 for Pathology and Laboratory Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was up 200% from 2023, when $38 in claims were submitted for these services.
Medicaid, a state-run public health insurance program financed jointly by state and federal governments, provides coverage to low-income people, seniors, children, and those with disabilities. It remains one of the largest components of the U.S. health system.
Since Medicaid is taxpayer-funded, shifts in local billing highlight community allocation of public health care dollars.
The “Pathology and Laboratory Procedures” classification covers specific services billed to Medicaid, based on HCPCS and CPT standardized code groupings. This analysis assigns each billing code to a single service category using set code prefixes and ranges, grouping related services for comparison, avoiding double counting, and supporting accurate ranking over time.
Though Medicaid spending rose across various service categories, Pathology and Laboratory Procedures placed fourth in Interlachen for total Medicaid payment volume in 2024.
Statewide in Florida, Pathology and Laboratory Procedures ranked sixth by Medicaid payments in 2024.
Between 2019 and 2024, Interlachen Medicaid payments for Pathology and Laboratory Procedures increased by $75, or 195%. Some periods saw especially rapid growth, with significant year-over-year increases in both 2021 and 2023.
Most Medicaid payments in this category were associated with a small number of ZIP codes in Interlachen. In 2024, the ZIP code 32148 accounted for $113, representing 99.9% of Medicaid payments for Pathology and Laboratory Procedures in the city that year.
Medicaid spending within this category was concentrated among only a handful of individual billing codes.
By comparison, Medicaid spending on Pathology and Laboratory Procedures in Interlachen rose by 200% between 2023 and 2024, while overall Medicaid claim categories in the city saw a 20% change during this period.
The Centers for Medicare & Medicaid Services report that federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, about 18% of total U.S. health spending, a notable rise from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase equals approximately 40% growth in just a few years, influenced mainly by higher enrollment and use during and after the pandemic.
Recent federal budget law under the Trump administration features significant cuts to federal Medicaid funding and major structural changes. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next decade and includes policies like work requirements and greater cost-sharing, which could diminish benefits for some recipients. The reforms are likely to require states to cover a larger share and curb the rate of federal funding growth, while Medicaid will continue providing for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $38 | -86.4% |
| 2021 | $136 | 252.4% |
| 2022 | $28 | -79.4% |
| 2023 | $37 | 33.5% |
| 2024 | $113 | 203.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $111,023 | 92.4% |
| 2 | Alcohol and Drug Abuse Treatment | $7,853 | 6.5% |
| 3 | Medicine Services and Procedures | $1,127 | 0.9% |
| 4 | Pathology and Laboratory Procedures | $113 | 0.1% |
| 5 | Surgery | $4 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87880 | Strep a assay w/optic | $99 | 3 |
| 81002 | Urinalysis nonauto w/o scope | $14 | 1 |
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.
