Hensley Medicaid claims for Pathology and Laboratory Procedures reach $59,485 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Hensley Medicaid providers billed $59,485 for services in the Pathology and Laboratory Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 4865.4% jump from 2023, when submitted claims for these services totaled $1,198.

Medicaid, operated by state governments and funded by both federal and state sources, provides health insurance for low-income individuals and families, seniors, children and people with disabilities, making it a major component of the U.S. health care system.

Since Medicaid spending relies on taxpayer funding, shifts in local billing provide insight into how public health care resources are distributed within a community.

The “Pathology and Laboratory Procedures” category is defined by care type according to HCPCS and CPT code standards. For this review, each code was assigned to just one service category, using established prefixes and range criteria. This approach groups similar services for analysis while avoiding double counting and supporting accurate year-to-year rankings.

Of all Medicaid service categories in Hensley, Pathology and Laboratory Procedures led the city in total payments in 2024.

Statewide in Arkansas, this category ranked sixth for Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for Hensley’s Pathology and Laboratory Procedures category grew by $59,485, or 0%. Certain periods, particularly 2022, saw notable spikes in spending compared with the prior year.

Spending for these services was distributed citywide, but payment totals were largely concentrated in a few ZIP codes. In 2024, ZIP code 72065 had the highest Medicaid payments for the category at $59,484. Collectively, the top 1 ZIP codes made up 100% of Medicaid payments for Pathology and Laboratory Procedures in Hensley for the year.

Within this category, Medicaid payments were focused among a small set of billing codes.

In comparison, Medicaid payments for Pathology and Laboratory Procedures in Hensley rose 4865.4% between 2024 and 2023, while the city’s aggregate Medicaid claims across all categories increased by 295.5% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, total combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, accounting for approximately 18% of all national health spending—an increase from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise marks about 40% growth over a few years, attributable to increased enrollment and greater use of services during and after the pandemic.

Recent federal budget actions during the Trump administration have included major proposals to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and introduces policies like work requirements and higher cost-sharing that could affect coverage and funding for certain beneficiaries. These policy shifts are anticipated to place more financial responsibility on states and may slow the federal contribution to Medicaid, even as the program continues to serve millions.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Hensley, Arkansas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $36 -92.4%
2022 $2,415 6500.6%
2023 $1,197 -50.4%
2024 $59,484 4867.4%
Top Categories by Medicaid Payments in Hensley, Arkansas, 2024

Rank Category Medicaid Payments Share of City Total
1 Pathology and Laboratory Procedures $59,484 82.9%
2 Evaluation and Management $12,246 17.1%
3 Surgery $21 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Hensley, Arkansas, 2024

HCPCS Code Description Medicaid Payments Claims
87483 Cns dna amp probe type 12-25 $16,413 2
87502 Influenza dna amp probe $8,232 4
87633 Resp virus 12-25 targets $6,223 2
87798 Detect agent nos dna amp $4,822 6
87641 Mr-staph dna amp probe $3,531 5
87636 Sarscov2 & inf a&b amp prb $2,281 2
87651 Strep a dna amp probe $1,989 3
87581 M.pneumon dna amp probe $1,989 3
87486 Chlmyd pneum dna amp probe $1,839 3
87662 Zika virus dna/rna amp probe $1,571 2
87631 Resp virus 3-5 targets $1,426 1
87661 Trichomonas vaginalis amplif $1,423 2
87801 Detect agnt mult dna ampli $1,303 2
87653 Strep b dna amp probe $1,301 2
87591 N.gonorrhoeae dna amp prob $1,237 2
87635 Sars-cov-2 covid-19 amp prb $769 2
87592 N.gonorrhoeae dna quant $588 2
87481 Candida dna amp probe $519 1
87500 Vanomycin dna amp probe $506 1
87541 Legion pneumo dna amp prob $501 1

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.



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