Chino Hills Medicaid payments for pathology and lab services total $22.2 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Chino Hills billed $22,206,773 for services classified in the Pathology and Laboratory Procedures category, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This amount marks a 144.4% jump over 2023, during which providers reported $9,085,282 in claims for similar services.

Medicaid operates as a public health insurance initiative managed by states and financed jointly by state and federal governments. The program supports low-income people and families, along with seniors, children and those with disabilities, making it a major element of the U.S. health care landscape.

Because Medicaid funding comes from taxpayers, shifts in local billing reveal how community resources are directed toward health care.

The “Pathology and Laboratory Procedures” grouping includes Medicaid-billed services distinguished by type of care and assigned according to standardized HCPCS and CPT codes. In this review, every billing code was categorized using matching code prefixes and ranges to combine similar services, prevent duplicate counting and maintain ranking accuracy over time.

While the city saw higher Medicaid spending for numerous services, Pathology and Laboratory Procedures received the largest total Medicaid payments in Chino Hills in 2024.

Statewide, the Pathology and Laboratory Procedures category was the fifth largest in California for Medicaid payments in 2024.

Between 2020 and 2024, Medicaid spending tied to the Pathology and Laboratory Procedures category in Chino Hills grew by $19,117,099, or 618.7%. Certain years saw steeper increases, including significant year-over-year growth in 2020 and 2023.

Within Chino Hills, Pathology and Laboratory Procedures payments were not evenly distributed, but instead mainly associated with a handful of ZIP codes. In 2024, the ZIP code 91709 accounted for $22,206,773, representing all Medicaid payments in this category for the city that year.

Medicaid funding for Pathology and Laboratory Procedures also clustered around a small set of individual billing codes.

Comparing years, Medicaid payments for Pathology and Laboratory Procedures in Chino Hills grew by 144.4% from 2023 to 2024. In contrast, spending across all Medicaid claim categories in the city rose 115.4% over the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023. That made up about 18% of the nation’s total health costs, up substantially from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This increase amounts to nearly 40% growth in only a few years, with much of the change attributed to expanded enrollment and higher health service use during and after the pandemic.

Recent federal legislation enacted during the Trump administration included significant proposals to overhaul Medicaid’s funding structure. The “One Big Beautiful Bill Act,” approved in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next 10 years. The act introduces new requirements, such as work obligations and increased out-of-pocket costs, that could reduce coverage for some beneficiaries. With these changes, states will likely face greater costs even as the program serves millions of Americans.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Chino Hills, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,089,674 1014.5%
2021 $4,756,771 54%
2022 $5,896,712 24%
2023 $9,085,281 54.1%
2024 $22,206,773 144.4%
Top Categories by Medicaid Payments in Chino Hills, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Pathology and Laboratory Procedures $22,206,773 87.1%
2 Temporary National Codes (Non-Medicare) $1,503,433 5.9%
3 Dental Services $573,067 2.2%
4 Evaluation and Management $541,322 2.1%
5 Medicine Services and Procedures $368,983 1.4%
6 Surgery $263,370 1%
7 Vision Services $12,424 <0.1%
8 Alcohol and Drug Abuse Treatment $10,722 <0.1%
9 Procedures / Professional Services $5,579 <0.1%
10 Drugs Administered Other than Oral Method $1,219 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Chino Hills, California, 2024

HCPCS Code Description Medicaid Payments Claims
83036 Hemoglobin glycosylated a1c $1,857,811 24
84443 Assay thyroid stim hormone $1,546,717 24
80061 Lipid panel $1,406,220 24
82565 Assay of creatinine $1,007,893 24
81513 Nfct ds bv rna vag flu alg $929,612 23
80051 Electrolyte panel $903,456 24
88305 Tissue exam by pathologist $778,126 36
80307 Drug test prsmv chem anlyzr $736,801 12
85027 Complete cbc automated $721,062 12
87491 Chlmyd trach dna amp probe $619,966 23
87591 N.gonorrhoeae dna amp prob $619,923 23
84460 Alanine amino (alt) (sgpt) $618,422 24
87636 Sarscov2 & inf a&b amp prb $549,627 12
85025 Complete cbc w/auto diff wbc $515,723 12
87481 Candida dna amp probe $444,420 23
87661 Trichomonas vaginalis amplif $439,259 12
82043 Ur albumin quantitative $390,589 20
87088 Urine bacteria culture $389,115 23
83970 Assay of parathormone $376,978 12
82607 Vitamin b-12 $368,207 12

Note: HCPCS codes are provided for context within the category. Category totals and rankings are based on standardized groupings, not individual billing codes.

This article draws from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full source dataset is available here.



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