In 2024, Medicaid providers in Clatskanie billed $182 for services under the Pathology and Laboratory Procedures category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents an 89.6% jump from 2023, when providers billed $96 for the same services.
Medicaid is a public insurance program operated by individual states and jointly financed by state and federal governments. It covers low-income residents, families, children, seniors, and people with disabilities, making it a core component of the U.S. health care system.
Taxpayer dollars fund Medicaid, so variations in local billing reflect community-level decisions about public health care spending.
The “Pathology and Laboratory Procedures” group includes a range of Medicaid-reimbursed services, identified according to standardized HCPCS and CPT code prefixes and number ranges. For this analysis, each billing code was assigned exclusively to one service group using these consistent patterns, ensuring accurate comparisons and rankings over time while preventing duplicate counts.
Pathology and Laboratory Procedures was the fifth-largest Medicaid service category in Clatskanie in 2024, based on total associated payments, even as spending was up across a variety of categories.
This category ranked sixth by Medicaid payments statewide in Oregon for 2024.
From 2019 to 2024, Medicaid payments for Pathology and Laboratory Procedures in Clatskanie grew $86, equal to a 32.2% increase. Growth intensified in certain years, with significant increases noted in 2022 and 2023.
Spending within this category was not evenly spread but centered on select ZIP codes. In 2024, ZIP code 97016 made up all Medicaid payments for Pathology and Laboratory Procedures in Clatskanie, with $182. This ZIP dominated the category’s payments during the year.
Payments for Pathology and Laboratory Procedures were heavily concentrated among just a few billing codes.
While Medicaid spending for these services in Clatskanie rose 89.6% from 2023 to 2024, the increase across all Medicaid claim categories in the city during the same period was lower, at 27.7%.
The Centers for Medicare & Medicaid Services reports that combined Medicaid outlays from federal and state sources reached roughly $871.7 billion for fiscal year 2023. That sum made up about 18% of total national health expenditures and was up sharply from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
The rise—driven in large part by expanded participation and utilization during and after the pandemic—equates to an approximate 40% increase over several years.
Recent federal budget measures under the Trump administration included major proposals to reduce federal Medicaid funding and revamp the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to trim over $1 trillion in federal Medicaid outlays over 10 years, introducing work requirements and higher cost-sharing that could limit support and coverage for some enrollees. These shifts are expected to press states to absorb a greater share of expenses and curtail the pace of federal contributions while the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $268 | – |
| 2023 | $96 | -64.1% |
| 2024 | $182 | 89.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $20,123 | 67.8% |
| 2 | Medicine Services and Procedures | $3,828 | 12.9% |
| 3 | National Codes Established for State Medicaid Agencies | $3,608 | 12.2% |
| 4 | Evaluation and Management | $1,827 | 6.2% |
| 5 | Pathology and Laboratory Procedures | $182 | 0.6% |
| 6 | Dental Services | $126 | 0.4% |
| 7 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 80305 | Drug test prsmv dir opt obs | $182 | 2 |
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.
