In 2024, Medicaid providers in Draper submitted claims totaling $3,854,895 for Pathology and Laboratory Procedures, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 35% uptick from 2023, when claims for these services amounted to $2,855,246.
Medicaid serves as a state-administered, federally and state-funded public health insurance program. It provides coverage for low-income residents, elderly individuals, children, and people with disabilities, making it a key component of the nation’s health care infrastructure.
Fluctuations in Medicaid billing reflect how local taxpayer-funded health resources are distributed across the community.
The “Pathology and Laboratory Procedures” group includes Medicaid-billed services defined by care type, based on specific HCPCS and CPT coding methodologies. For this report, each billing code falls under a distinct service group according to set code prefixes and ranges, ensuring accurate aggregation and clear comparisons without overlapping categories.
Among various service types, Pathology and Laboratory Procedures brought in the highest Medicaid payment sum in Draper during 2024.
Statewide in Utah, Pathology and Laboratory Procedures was the sixth-largest Medicaid payment category for the year.
Medicaid spending for Pathology and Laboratory Procedures in Draper climbed by $3,052,276—an increase of 380.3%—over five years leading up to 2024. The steepest increases occurred during certain years, with significant jumps tracked in 2023 and 2020.
Spending for these services was spread across Draper but concentrated in just a few ZIP codes. Notably, ZIP code 84020 alone reported $3,854,895 in Medicaid payments for this category in 2024. This single ZIP code accounted for the entirety of Pathology and Laboratory Procedures Medicaid payments in the city that year.
Medicaid claims within the Pathology and Laboratory Procedures group were also focused on a small set of billing codes.
By comparison, while Medicaid payments for Pathology and Laboratory Procedures in Draper increased 35% between 2024 and 2023, all other Medicaid claim categories in the city saw a combined change of 4.7% during the same period.
Centers for Medicare & Medicaid Services data show joint federal and state Medicaid costs totaled about $871.7 billion in fiscal 2023, making up nearly 18% of total U.S. health spending—up sharply from roughly $613.5 billion in 2019, before the onset of COVID-19.
This surge reflects growth of approximately 40% over a short period, fueled in large part by expanded enrollment and greater use of services during and since the pandemic.
Recent federal spending bills signed under the Trump administration included major plans to reduce Medicaid funding and change the program structure. For example, the “One Big Beautiful Bill Act,” passed in 2025, is expected to trim over $1 trillion from federal Medicaid funding over the next ten years and introduce work requirements and higher cost-sharing, potentially reducing benefits and coverage for certain groups. The legislation is projected to shift more Medicaid costs to states and limit future federal Medicaid spending, although the program still remains vital for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $802,618 | 426.1% |
| 2021 | $202,426 | -74.8% |
| 2022 | $524,268 | 159% |
| 2023 | $2,855,246 | 444.6% |
| 2024 | $3,854,895 | 35% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Pathology and Laboratory Procedures | $3,854,895 | 37.4% |
| 2 | National Codes Established for State Medicaid Agencies | $2,973,788 | 28.8% |
| 3 | Procedures / Professional Services | $2,637,390 | 25.6% |
| 4 | Evaluation and Management | $610,207 | 5.9% |
| 5 | Ambulance and Other Transport Services and Supplies | $64,576 | 0.6% |
| 6 | Medicine Services and Procedures | $61,788 | 0.6% |
| 7 | Diagnostic Radiology Services | $49,761 | 0.5% |
| 8 | Temporary Codes | $23,793 | 0.2% |
| 9 | Radiology Procedures | $19,665 | 0.2% |
| 10 | Dental Services | $14,447 | 0.1% |
| 11 | Surgery | $1,687 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $1,041 | <0.1% |
| 13 | Pathology and Laboratory Services | $30 | <0.1% |
| 14 | Hearing Services | $0 | <0.1% |
| 14 | Temporary National Codes (Non-Medicare) | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 80307 | Drug test prsmv chem anlyzr | $2,631,041 | 44 |
| 87798 | Detect agent nos dna amp | $579,474 | 12 |
| 87801 | Detect agnt mult dna ampli | $221,957 | 12 |
| 87481 | Candida dna amp probe | $117,947 | 12 |
| 87653 | Strep b dna amp probe | $40,390 | 12 |
| 87631 | Resp virus 3-5 targets | $40,165 | 12 |
| 87500 | Vanomycin dna amp probe | $23,476 | 12 |
| 87641 | Mr-staph dna amp probe | $21,724 | 12 |
| 87511 | Gardner vag dna amp probe | $18,333 | 12 |
| 87661 | Trichomonas vaginalis amplif | $17,520 | 12 |
| 87529 | Hsv dna amp probe | $17,433 | 12 |
| 87563 | M. genitalium amp probe | $16,504 | 12 |
| 87640 | Staph a dna amp probe | $16,301 | 12 |
| 87505 | Nfct agent detection gi | $14,695 | 11 |
| 87637 | Sarscov2&inf a&b&rsv amp prb | $13,586 | 8 |
| 87428 | Sarscov & inf vir a&b ag ia | $11,222 | 6 |
| 87491 | Chlmyd trach dna amp probe | $10,309 | 12 |
| 87591 | N.gonorrhoeae dna amp prob | $9,543 | 12 |
| 87651 | Strep a dna amp probe | $7,830 | 13 |
| 87426 | Sarscov coronavirus ag ia | $6,807 | 7 |
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.
