Lyndonville Medicaid spending for Pathology, Lab Procedures rises 32% to $10,322 in 2024

In 2024, Lyndonville Medicaid providers reported $10,322 in billing for Pathology and Laboratory Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 31.6% jump from 2023, when claims for this service totaled $7,844.

Medicaid, a public insurance program funded with joint federal and state dollars and administered by the states, serves low-income individuals and families, seniors, children and those with disabilities, and is one of the largest segments within U.S. health care.

Shifts in Medicaid billing at the local level offer insights into how taxpayer-funded health care resources are spent in different communities.

The Pathology and Laboratory Procedures group, as reported by Medicaid, involves services identified by standardized HCPCS and CPT code sets. Each billing code for this analysis was sorted under a single care category based on defined code prefixes and numeric ranges. This method prevents double counting and allows for an accurate look at payment rankings over time.

While Medicaid spending grew in several categories, Pathology and Laboratory Procedures placed fifth in total Medicaid payments for Lyndonville in 2024.

Throughout Vermont, Pathology and Laboratory Procedures was the ninth-largest category for Medicaid payments by total in 2024.

Across the five years before 2024, Medicaid payments for Pathology and Laboratory Procedures in Lyndonville grew by $10,322, a net change of 0%. Spending saw faster growth at certain times, especially with notable annual increases in 2023 and 2022.

Pathology and Laboratory Procedures payments were not spread evenly; most of the Medicaid dollars were concentrated within a small number of ZIP codes. In 2024, ZIP code 05851 accounted for $10,321—making up 100% of Lyndonville’s Medicaid payments for this category that year.

Payments within the Pathology and Laboratory Procedures category were similarly focused around a small number of individual Medicaid billing codes.

When compared to the 31.6% increase for Pathology and Laboratory Procedures in Lyndonville between 2024 and 2023, Medicaid claims for all categories in the city rose at a lower rate of 21.5% during that period.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending reached about $871.7 billion in fiscal year 2023, amounting to nearly 18% of all U.S. health expenditures, a sharp rise from $613.5 billion in 2019 before the COVID-19 pandemic.

This increase is about 40% over several years, driven mainly by higher enrollment and service use linked to the pandemic and its aftermath.

Recent federal budget changes during the Trump administration include major proposals to reduce federal contributions for Medicaid and restructure program details. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over 10 years. The law also brings in work mandates and higher cost-sharing, potentially limiting access and coverage for certain recipients. These adjustments may lead states to absorb more Medicaid costs, slowing the expansion of federal support, though the program continues to cover tens of millions across the nation.

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.