Medicaid spending on pathology and laboratory procedures rose 34.3% in San Dimas in 2024

In 2024, Medicaid providers in San Dimas submitted $3,113,749 in claims for Pathology and Laboratory Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 34.3% increase from 2023, when claims for the same services reached $2,318,545.

Medicaid is a joint federal-state program that provides public health insurance for low-income groups, families, children, seniors, and people with disabilities, and it remains one of the largest components of the U.S. health care system. More about program funding can be found at this resource.

Since Medicaid is financed by taxpayers, shifts in local claims volumes help illustrate how public health care funding is distributed in each community.

The “Pathology and Laboratory Procedures” group contains Medicaid services classified by care type, using defined HCPCS and CPT code groupings. This analysis assigned each billing code to a single service category using uniform code prefixes and numeric bands to ensure related services are grouped together without duplicate counts, maintaining consistent rankings over time.

While several service categories saw higher Medicaid expenditures, Pathology and Laboratory Procedures held the No. 3 position by total Medicaid payments in San Dimas for 2024.

Across California, Pathology and Laboratory Procedures was ranked fifth by Medicaid payment totals in 2024.

During the five years prior to 2024, Medicaid payments in San Dimas for Pathology and Laboratory Procedures increased by $1,983,974, or 175.6%. Growth accelerated during certain years, with marked annual increases noted in 2023 and 2021.

Although spending was seen throughout San Dimas, most Medicaid funding for Pathology and Laboratory Procedures was concentrated in a handful of ZIP codes. In 2024, ZIP code 91773 recorded the highest payments, totaling $3,113,748. This single ZIP accounted for 100% of all Medicaid payments in this category within San Dimas for the year.

Payments for Pathology and Laboratory Procedures services were further concentrated within a limited group of billing codes.

Compared to the 34.3% rise in Medicaid payments for Pathology and Laboratory Procedures between 2024 and 2023, overall Medicaid claims across all service categories in San Dimas grew 9.5% in that period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up around 18% of all national health spending, up from around $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This represents about 40% growth in Medicaid costs in a few years, largely due to broader enrollment and increased utilization during and after the pandemic.

Major federal budget enacted under the Trump administration introduced substantial changes in Medicaid funding and structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over 10 years, incorporating requirements like work mandates and higher cost-sharing. These policies could reduce coverage for some, raise costs to states, and limit future federal Medicaid growth, while the program continues to serve tens of millions nationwide.

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.