In 2024, Medicaid providers in Brady billed $26,073 for Pathology and Laboratory Procedures, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was an 81.1% increase from 2023, when claims for this category totaled $14,399.
Medicaid, a public health insurance initiative managed by states with both federal and state funding, serves low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health system. More on Medicaid’s funding can be found here.
Because Medicaid spending relies on taxpayer funding, shifts in local billing highlight how public healthcare money is directed within a community.
The “Pathology and Laboratory Procedures” classification encompasses a set of Medicaid services outlined by care type, based on standard HCPCS and CPT coding groups. For this review, each billing code was categorized by a single service group using consistent code prefixes and number ranges, ensuring accurate comparison without duplicate counting across periods.
While Medicaid outlays grew in several service areas, Pathology and Laboratory Procedures placed third in Brady by total Medicaid payments in 2024.
Statewide in Texas, that same category stood sixth overall for Medicaid spending in 2024.
During the five years prior to 2024, Medicaid payments for Pathology and Laboratory Procedures in Brady climbed by $23,245, or 821.8%. Growth was especially strong during certain years, notably in 2021 and 2022.
Most spending within this service type was concentrated in a few ZIP codes. In 2024, ZIP code 76825 generated $26,073 of payments in the category, accounting for 100% of Brady’s total Medicaid spending for Pathology and Laboratory Procedures that year.
Payments for Pathology and Laboratory Procedures were also focused among a subset of specific billing codes.
Looking at year-over-year change, Medicaid spending for Pathology and Laboratory Procedures in Brady was up 81.1% between 2024 and 2023. That compares with a 47.6% increase across all Medicaid service categories during the same timeframe in the city.
The Centers for Medicare & Medicaid Services report that federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing around 18% of total health expenditures nationwide. That marks a sharp rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise is roughly 40% over just a few years, largely driven by more enrollment and greater service usage during and after the pandemic period.
Recent federal budget changes introduced during the Trump administration brought forward major proposals to cut Medicaid funding and alter the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion across the next decade. The law brings in work requirements and higher cost-sharing, changes that may reduce some coverage and shift financial responsibility toward states as the program continues to assist tens of millions of people nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,828 | – |
| 2021 | $116,326 | 4012.8% |
| 2022 | $61,224 | -47.4% |
| 2023 | $14,399 | -76.5% |
| 2024 | $26,073 | 81.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $93,325 | 44% |
| 2 | National Codes Established for State Medicaid Agencies | $91,089 | 43% |
| 3 | Pathology and Laboratory Procedures | $26,073 | 12.3% |
| 4 | Medicine Services and Procedures | $1,369 | 0.6% |
| 5 | Surgery | $108 | 0.1% |
| 6 | Ambulance and Other Transport Services and Supplies | $90 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87633 | Resp virus 12-25 targets | $11,870 | 1 |
| 87804 | Influenza assay w/optic | $5,598 | 10 |
| 87426 | Sarscov coronavirus ag ia | $4,379 | 10 |
| 87880 | Strep a assay w/optic | $1,015 | 4 |
| 87486 | Chlmyd pneum dna amp probe | $999 | 1 |
| 87581 | M.pneumon dna amp probe | $999 | 1 |
| 80053 | Comprehen metabolic panel | $705 | 7 |
| 85025 | Complete cbc w/auto diff wbc | $504 | 7 |
| 87798 | Detect agent nos dna amp | $0 | 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.
