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.
| 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% |
| 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% |
| 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.


