Frankfort Medicaid billing for pathology and laboratory services reaches $118,942 in 2024

Frankfort Medicaid providers secured $118,942 in payments for services within the Pathology and Laboratory Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represented an 11.1% rise from 2023, when claims for these services totaled $107,059.

Medicaid, overseen by state governments and funded in partnership with the federal government, covers low-income individuals, families, seniors, children, and people with disabilities, making it a key component of the U.S. health care system.

Since Medicaid payments use public funds, fluctuations in local claim amounts indicate where a community’s health care resources are directed.

The Pathology and Laboratory Procedures category covers services defined by care type, using HCPCS and CPT code groupings. In this report, each code is assigned to one service category based on consistent prefixes and numerical ranges, ensuring related services are grouped accurately for analysis without overlap, while maintaining accurate rankings across years.

While Medicaid claims increased among various service types in Frankfort, Pathology and Laboratory Procedures stood as the fourth highest by total payments in 2024.

Statewide, this category was ninth in Indiana for total Medicaid payments in 2024.

In the five years preceding 2024, Medicaid payments in Frankfort related to Pathology and Laboratory Procedures climbed by $98,560, or 483.6%. Growth accelerated in selected years, particularly during 2021 and 2022.

Spending within the Pathology and Laboratory Procedures category was geographically concentrated. In 2024, the primary ZIP code was 46041—which accounted for the full $118,942 billed for this type of care in Frankfort. As a result, the top ZIP code represented all Medicaid payments for these services locally in 2024.

Additionally, only a small subset of specific billing codes saw the bulk of the Medicaid payments in this category.

Comparing year-over-year figures, Medicaid payments for Pathology and Laboratory Procedures in Frankfort climbed 11.1% from 2023 to 2024. Across all Medicaid service categories in the city, payments increased 21.9% during the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state outlays for Medicaid totaled approximately $871.7 billion in fiscal year 2023, about 18% of national health costs, rising significantly from $613.5 billion in 2019 prior to the COVID-19 pandemic.

The jump amounts to a roughly 40% increase in just a few years, mostly due to expanded program enrollment and higher use during and after the pandemic.

Recent federal measures during the Trump administration have offered major proposals to trim federal Medicaid support and shift program design. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by over $1 trillion over 10 years, add work requirement and cost-sharing policies that could limit some recipients’ benefits, and transfer greater funding responsibility to the states. These steps are likely to slow the growth of federal Medicaid assistance, even as the program delivers care to millions.

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.