Bee Cave Medicaid spending on pathology and laboratory services up 18.3% to $379,809 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In Bee Cave, Medicaid providers billed $379,809 in 2024 for services categorized as Pathology and Laboratory Procedures, drawing from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This sum represented an 18.3% rise compared with 2023, when $321,092 was claimed for these services.

Medicaid is a state-run public insurance system financed jointly by federal and state governments. It provides health coverage for people with low incomes, seniors, children, and individuals with disabilities, and is a significant part of the U.S. health care network.

Since Medicaid funding comes from taxpayers, shifts in community billing levels reflect how public dollars are distributed locally within the health sector.

The “Pathology and Laboratory Procedures” class includes Medicaid-billed services identified by type of care, using standardized HCPCS and CPT code groupings. Each billing code was sorted into a single service category for this analysis with consistent code prefixes and number ranges. This method enables examination of related services together without double counting, supporting precise tracking of trends.

Despite rises in multiple service classes, Pathology and Laboratory Procedures had the highest total Medicaid payments in Bee Cave for 2024.

Statewide in Texas, the Pathology and Laboratory Procedures service ranked sixth by total Medicaid payment amount that same year.

Between the five years leading up to 2024, Medicaid spending attached to Pathology and Laboratory Procedures in Bee Cave increased by $293,394, equating to a 339.5% gain. During this span, spending accelerated notably in certain years, including significant jumps in both 2022 and 2020.

Though care spending in Pathology and Laboratory Procedures was spread citywide, billing was notably concentrated in a small number of ZIP codes. In 2024, the ZIP code 78738 accounted for $379,809 in Medicaid payments in this category—making up 100% of the total tied to these procedures that year in Bee Cave.

Within Pathology and Laboratory Procedures, Medicaid funding was clustered among a limited set of specific billing codes.

For context, Medicaid spending for Pathology and Laboratory Procedures services in Bee Cave grew by 18.3% between 2023 and 2024, compared with a 19.2% increase across all Medicaid service categories in the city during the same timeframe.

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

This growth represents roughly 40% expansion over several years, spurred largely by greater enrollment and increased utilization related to and following the pandemic.

Recently, federal budget legislation under the Trump administration has brought forward notable plans to trim federal Medicaid funding and change program structure. As one example, the “One Big Beautiful Bill Act,” which became law in 2025, is estimated to reduce federal Medicaid outlays by over $1 trillion over 10 years, establishing new work requirements and heightened cost sharing. These reforms may decrease coverage for certain beneficiaries and pass a larger share of costs to states, potentially constraining expansion of federal support while the program keeps serving millions nationwide.

Medicaid Payments Tied to Pathology and Laboratory Procedures in Bee Cave, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $86,415 48.4%
2021 $127,593 47.7%
2022 $218,450 71.2%
2023 $321,092 47%
2024 $379,809 18.3%
Top Categories by Medicaid Payments in Bee Cave, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Pathology and Laboratory Procedures $379,809 94.5%
2 Dental Services $22,066 5.5%
3 Medicine Services and Procedures $0 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Bee Cave, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
81503 Onco (ovar) five proteins $377,474 12
82105 Alpha-fetoprotein serum $1,070 2
82378 Carcinoembryonic antigen $400 4
86301 Immunoassay tumor ca 19-9 $355 3
84702 Chorionic gonadotropin test $352 4
83615 Lactate (ld) (ldh) enzyme $155 4

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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