Medicaid Pathology and Laboratory Procedures spending rises 61.5% to $995,537 in Keyport for 2024

Medicaid providers in Keyport submitted $995,537 in claims for Pathology and Laboratory Procedures services during 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total marks a 61.5% jump compared with 2023, when the amount billed for these services totaled $616,568.

Medicaid is a state-administered health insurance initiative that receives funding from both the federal government and the states. It serves low-income individuals and families, seniors, children, and people with disabilities, making it a key segment of the U.S. health care landscape.

Since Medicaid payments use public funds, variations in local claims levels provide insight into how community health care resources are distributed.

The “Pathology and Laboratory Procedures” group encompasses a range of Medicaid-billed services, classified according to specific care types and identified with standardized HCPCS and CPT codes. Each code was consistently allocated to a single service group using uniform code prefixes and ranges for this report, enabling a clear analysis across years while preventing double counting and maintaining precise category rankings.

Although Medicaid disbursements rose for several service types, Pathology and Laboratory Procedures was the top category for total Medicaid spending in Keyport during 2024.

Statewide, Pathology and Laboratory Procedures was ranked as the sixth-largest Medicaid payment category in New Jersey for 2024.

In the five years preceding 2024, Keyport’s Medicaid claims for Pathology and Laboratory Procedures rose by $993,443, equating to a 47431.7% increase. Certain years saw particularly sharp rises, notably throughout 2023 and 2022.

Though Pathology and Laboratory Procedures payments were made throughout Keyport, the overwhelming share was concentrated in just a handful of ZIP codes. For 2024, ZIP code 07735 alone represented $995,537, with the top 1 ZIP codes making up all Medicaid payments for these services citywide that year.

Within Pathology and Laboratory Procedures, the majority of Medicaid payments centered on a small subset of billing codes.

When measured between 2024 and 2023, Keyport’s Medicaid spending for Pathology and Laboratory Procedures grew 61.5%. By comparison, all Medicaid claim categories in Keyport experienced an aggregate increase of 35.3% over the same timeframe.

Centers for Medicare & Medicaid Services data show total federal and state Medicaid expenditures climbed to about $871.7 billion in fiscal 2023, making up nearly 18% of health expenditures nationwide—substantially above the roughly $613.5 billion totaled in 2019, before the onset of the COVID-19 pandemic.

This marks an increase of approximately 40% over a few years, mainly driven by higher enrollment and increased service use during and after the pandemic.

Recent federal budget changes during the Trump administration featured large-scale proposals for lowering federal Medicaid allocations and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion during the next decade and adds provisions such as work requirements and greater cost-sharing, which could impact access and funding for some recipients. These updates are expected to shift financial responsibilities to states and restrict federal Medicaid expansion while continuing to cover tens of millions of Americans.

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.

The information provided here is based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source details are available here.