Medicaid payments for pathology and lab procedures in Torrance reach $18,325,656 for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Torrance Medicaid providers submitted $18,325,656 in claims for the Pathology and Laboratory Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure represents a 479.2% jump compared with 2023, when $3,163,747 was billed for the same group of services.

Medicaid is a joint federal-state public health insurance initiative that covers low-income people and families, children, seniors, and those with disabilities—comprising one of the largest components of the U.S. health care sector. Funding comes from both state and federal governments, as outlined in the program structure.

Since Medicaid is taxpayer-funded, changes in the volume of claims provide insight into how public health funding is distributed across communities.

The “Pathology and Laboratory Procedures” segment includes groups of related Medicaid services, classified based on standardized HCPCS and CPT codes. To ensure accuracy, this analysis assigned each code to a single service category, sorted by code prefixes and number ranges, preventing overlap and maintaining sound rankings over time.

Although overall Medicaid expenditures increased in multiple service groupings, Pathology and Laboratory Procedures ranked third by total Medicaid payments in Torrance in 2024.

Statewide in California, this service category held the fifth spot for total Medicaid payments in 2024.

During the five years leading up to 2024, total Medicaid spending for Pathology and Laboratory Procedures in Torrance rose by $16,910,108, an increase of 1194.6%. Periods of accelerated growth were especially notable in 2023 and 2022.

Within Torrance, Medicaid spending in the Pathology and Laboratory Procedures category was largest in a handful of ZIP codes. In 2024, ZIP code 90501 accounted for the most, with $16,820,653, while ZIP code 90503 recorded $1,107,342, and 90505 posted $386,259. Together, these top 3 ZIP codes represented 99.9% of the city’s Medicaid payments in this category for the year.

A limited set of individual billing codes made up the majority of Medicaid expenditures attributed to Pathology and Laboratory Procedures.

From 2023 to 2024, Medicaid payments within this category in Torrance rose by 479.2%, whereas the aggregate change across all local Medicaid claim categories was 3.9% during the same timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditure reached approximately $871.7 billion in fiscal year 2023—about 18% of national health spending—sharply higher than $613.5 billion in 2019, before the COVID-19 pandemic began.

This nearly 40% increase over recent years has been largely driven by expanded Medicaid enrollment and higher usage throughout the pandemic era and after.

Recent federal budget measures enacted in the Trump administration included significant proposals for federal Medicaid funding reductions and structural changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade. The bill introduces work requirements and greater cost-sharing, adjustments that may reduce coverage and funding for some beneficiaries. These changes are projected to transfer more financial responsibility to states and potentially limit increases in federal Medicaid assistance, though the program will continue serving tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $1,415,547 -16.7%
2021 $1,773,240 25.3%
2022 $2,283,492 28.8%
2023 $3,163,746 38.5%
2024 $18,325,656 479.2%
Top Categories by Medicaid Payments in Torrance, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Medical And Surgical Supplies $47,461,905 30.9%
2 National Codes Established for State Medicaid Agencies $35,140,011 22.8%
3 Pathology and Laboratory Procedures $18,325,656 11.9%
4 Evaluation and Management $10,549,585 6.9%
5 Medicine Services and Procedures $8,178,359 5.3%
6 Anesthesia $6,268,831 4.1%
7 Procedures / Professional Services $5,789,805 3.8%
8 Durable Medical Equipment $4,819,243 3.1%
9 Temporary National Codes (Non-Medicare) $3,489,759 2.3%
10 Radiology Procedures $3,336,490 2.2%
11 Surgery $2,824,563 1.8%
12 Alcohol and Drug Abuse Treatment $2,380,585 1.5%
13 Dental Services $2,051,583 1.3%
14 Administrative, Miscellaneous and Investigational $1,245,767 0.8%
15 Drugs Administered Other than Oral Method $457,967 0.3%
16 Chemotherapy Drugs $445,401 0.3%
17 Ambulance and Other Transport Services and Supplies $372,888 0.2%
18 Enteral and Parenteral Therapy $320,499 0.2%
19 Durable medical equipment (DME) Medicare administrative contractors (MACs) $182,812 0.1%
20 Temporary Codes $115,058 0.1%
21 Prosthetic Procedures $31,438 <0.1%
22 Vision Services $20,202 <0.1%
23 Orthotic Procedures and services $3,046 <0.1%
24 Pathology and Laboratory Services $959 <0.1%
25 Outpatient PPS $0 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Torrance, California, 2024

HCPCS Code Description Medicaid Payments Claims
87502 Influenza dna amp probe $6,358,015 19
87634 Rsv dna/rna amp probe $5,161,402 12
87635 Sars-cov-2 covid-19 amp prb $4,564,306 61
87637 Sarscov2&inf a&b&rsv amp prb $787,024 14
87633 Resp virus 12-25 targets $414,459 11
87798 Detect agent nos dna amp $191,780 32
85025 Complete cbc w/auto diff wbc $92,603 175
80048 Basic metabolic pnl total ca $71,698 86
80053 Comprehen metabolic panel $56,753 128
83880 Assay of natriuretic peptide $51,340 45
80307 Drug test prsmv chem anlyzr $40,812 20
87651 Strep a dna amp probe $40,541 58
84484 Assay of troponin quant $39,760 57
83690 Assay of lipase $29,066 54
80076 Hepatic function panel $22,531 50
87491 Chlmyd trach dna amp probe $21,715 56
81025 Urine pregnancy test $21,697 94
87591 N.gonorrhoeae dna amp prob $20,202 47
87806 Hiv ag w/hiv1&2 antb w/optic $16,246 18
87086 Urine culture/colony count $16,075 72

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 for this article is drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data can be accessed here.



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