Holtsville Medicaid spending on pathology and lab services rises to $11,073 in 2024

In 2024, Holtsville Medicaid providers billed $11,073 for services listed under the Pathology and Laboratory Procedures category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 47.4% rise from the $7,512 paid out for the same services in 2023.

Medicaid, a program operated by each state with both state and federal funding, covers low-income people, seniors, children and those with disabilities and plays a major role in national health care coverage.

Because taxpayer dollars fund Medicaid payments, shifts in billing locally reflect trends in public health spending distribution where residents live.

The “Pathology and Laboratory Procedures” category consists of multiple Medicaid-billed services grouped according to standardized HCPCS and CPT code schemes. In this review, service categories were assigned using common code ranges, keeping results consistent and preventing overlap, which allowed for accurate ongoing ranking and comparison.

While several service categories saw growth in Medicaid spending, Pathology and Laboratory Procedures was the third-highest by total Medicaid payments for Holtsville in 2024.

Statewide in New York, Pathology and Laboratory Procedures placed seventh by total payments for 2024.

For the five years ending in 2024, Medicaid payments related to Pathology and Laboratory Procedures in Holtsville totaled $11,073, representing 0% net change over that period, with larger annual increases reported in some recent years, including 2023 and 2022.

Spend for Pathology and Laboratory Procedures was distributed throughout Holtsville but was primarily focused within a small number of ZIP codes. In 2024, ZIP code 11742 registered $11,073 in Medicaid payments for this category, accounting for 100% of Holtsville’s Medicaid total in this sector during the year.

Within the Pathology and Laboratory Procedures series, Medicaid payments were concentrated within a subset of billing codes.

Spending in Holtsville for Pathology and Laboratory Procedures went up by 47.4% from 2023 to 2024; for comparison, all categories of Medicaid payments in the city posted a 59.9% rise over the same period.

The Centers for Medicare & Medicaid Services report that combined federal and state Medicaid spending neared $871.7 billion in the 2023 fiscal year, accounting for about 18% of U.S. health care expenditures, which is a sharp increase compared to roughly $613.5 billion in 2019 before the COVID-19 pandemic.

This change amounts to approximately 40% growth in only a few years, propelled largely by increases in enrollment and greater use following the pandemic.

Recent federal budget measures implemented by the Trump administration have provided for substantial cuts in federal Medicaid dollars and changes to the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to trim over $1 trillion from federal Medicaid spending in the coming decade and adds policies such as mandatory work and greater cost-sharing, likely reducing coverage or funds for some enrollees. These adjustments are expected to increase direct costs for states and place new limits on federal Medicaid growth while the program continues to cover tens of millions of people.

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.