Woodstock Medicaid providers billed $183,090 in 2024 for Pathology and Laboratory Procedures, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 57.6% increase over 2023, when claims for these services totaled $116,182.
Medicaid is a national public health insurance program operated by the states and funded cooperatively by federal and state governments. It offers coverage to low-income people and families, seniors, children, and individuals with disabilities, making it among the largest portions of the U.S. health care system.
Because taxpayer dollars support Medicaid, changes in local billing help illustrate how public health funds are distributed within a community.
The “Pathology and Laboratory Procedures” group encompasses Medicaid-billed services categorized by type of care, based on standardized HCPCS and CPT code groupings. For this evaluation, each billing code was matched to a single service type using consistent code prefixes and numerical ranges. This approach allows related services to be analyzed together, ensuring accurate rankings and avoiding double counting over time.
Despite rising Medicaid payments in several categories, Pathology and Laboratory Procedures ranked fifth for total Medicaid spending in Woodstock in 2024.
Statewide in Virginia, Pathology and Laboratory Procedures was ranked ninth by total Medicaid payments for 2024.
Over the five-year period ending in 2024, Medicaid payments for Pathology and Laboratory Procedures in Woodstock rose by $90,747, or 98.3%. Growth was faster in certain years, with the steepest annual increases seen in 2021 and 2020.
Though spending for Pathology and Laboratory Procedures was distributed across Woodstock, the bulk of Medicaid payments was concentrated in a small number of ZIP codes. In 2024, ZIP code 22664 accounted for the entire $183,090 in Medicaid bills for this service group, making up 100% of the city’s total Medicaid spending for the category that year.
Medicaid payments in the Pathology and Laboratory Procedures category were also focused on a few individual billing codes.
Comparatively, Medicaid payments for Pathology and Laboratory Procedures in Woodstock grew by 57.6% between 2024 and 2023. By contrast, total Medicaid claims for all categories in the city increased by 12.7% in the same period.
Data from the Centers for Medicare & Medicaid Services shows that combined federal and state Medicaid spending reached roughly $871.7 billion for fiscal 2023, accounting for about 18% of overall U.S. health expenditures, up markedly from $613.5 billion in 2019, before the COVID-19 pandemic began.
This increase represents nearly 40% growth in just a few years, largely driven by broader enrollment and greater use of services during and after the pandemic.
Recent federal budget actions taken during the Trump administration have involved major proposals to trim federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is forecast to reduce federal Medicaid expenditures by more than $1 trillion over the next decade. It introduces work requirements and higher cost-sharing that may lower coverage and funding for some enrollees. These policy changes are expected to shift more costs to the states and limit the growth in federal Medicaid support, even as the program remains a cornerstone of health coverage for millions in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $92,343 | 16% |
| 2021 | $154,698 | 67.5% |
| 2022 | $141,324 | -8.6% |
| 2023 | $116,182 | -17.8% |
| 2024 | $183,090 | 57.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,241,352 | 50.2% |
| 2 | Medicine Services and Procedures | $1,721,117 | 26.6% |
| 3 | National Codes Established for State Medicaid Agencies | $592,997 | 9.2% |
| 4 | Radiology Procedures | $584,447 | 9% |
| 5 | Pathology and Laboratory Procedures | $183,090 | 2.8% |
| 6 | Ambulance and Other Transport Services and Supplies | $59,457 | 0.9% |
| 7 | Procedures / Professional Services | $43,277 | 0.7% |
| 8 | Surgery | $18,170 | 0.3% |
| 9 | Medical And Surgical Supplies | $13,771 | 0.2% |
| 10 | Drugs Administered Other than Oral Method | $1,788 | <0.1% |
| 11 | Temporary Codes | $16 | <0.1% |
| 12 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 12 | Coronavirus Diagnostic Panel | $0 | <0.1% |
| 12 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87428 | Sarscov & inf vir a&b ag ia | $78,018 | 23 |
| 87880 | Strep a assay w/optic | $52,817 | 23 |
| 80053 | Comprehen metabolic panel | $9,999 | 12 |
| 84443 | Assay thyroid stim hormone | $6,784 | 12 |
| 85025 | Complete cbc w/auto diff wbc | $5,598 | 12 |
| 80048 | Basic metabolic pnl total ca | $5,577 | 11 |
| 80061 | Lipid panel | $4,268 | 12 |
| 82306 | Vitamin d 25 hydroxy | $2,721 | 6 |
| 87807 | Rsv assay w/optic | $2,664 | 8 |
| 81003 | Urinalysis auto w/o scope | $2,407 | 13 |
| 82947 | Assay glucose blood quant | $2,123 | 10 |
| 81025 | Urine pregnancy test | $1,890 | 12 |
| 81002 | Urinalysis nonauto w/o scope | $1,223 | 11 |
| 86140 | C-reactive protein | $950 | 11 |
| 83036 | Hemoglobin glycosylated a1c | $880 | 6 |
| 85610 | Prothrombin time | $793 | 11 |
| 83880 | Assay of natriuretic peptide | $524 | 11 |
| 85652 | Rbc sed rate automated | $504 | 9 |
| 87086 | Urine culture/colony count | $488 | 11 |
| 84466 | Assay of transferrin | $401 | 3 |
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.
