Vilonia Medicaid payments for pathology and lab procedures climb to $12,577 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Vilonia Medicaid providers billed $12,577 for services categorized under Pathology and Laboratory Procedures, as documented by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This totals a 100.9% jump from 2023, when providers billed $6,261 for these services.

Medicaid, a public insurance initiative overseen by each state and funded by both federal and state governments, covers eligible low-income people, children, seniors and people with disabilities. It is among the largest components of the nation’s health care framework.

Because state and federal dollars fund Medicaid payments, fluctuations in billing data offer insight into how each community’s health care resources are spent.

The Pathology and Laboratory Procedures classification encompasses a set of Medicaid-billed services defined by the care rendered, using consistent groupings of HCPCS and CPT codes. For this reporting, individual billing codes were aligned to specific service categories using unified code prefixes and number ranges, ensuring similar services are grouped—avoiding duplicate calculations and enabling precise ranking comparisons over time.

While several service categories experienced greater Medicaid spending, Pathology and Laboratory Procedures represented the fourth-largest category in Vilonia for 2024.

Statewide, Pathology and Laboratory Procedures was ranked sixth among service categories by Medicaid payment amount in Arkansas during 2024.

Between 2019 and 2024, Medicaid spending for Pathology and Laboratory Procedures in Vilonia expanded by $11,651, or 1258.2%. Significant increases happened in select years, notably in 2020 and 2021.

Though these funds were distributed citywide, spending was primarily concentrated in a small number of ZIP codes. In 2024, ZIP code 72173 led the category, responsible for $12,577, so the top ZIP code made up 100% of such payments in Vilonia for the year.

Additionally, Medicaid spending in this category was focused on a limited subset of billing codes.

Comparing periods, Medicaid payments earmarked for Pathology and Laboratory Procedures in Vilonia rose 100.9% from 2023 to 2024, compared with a 24.9% change across all Medicaid service categories in Vilonia in the same timeframe.

Data from the Centers for Medicare & Medicaid Services shows that jointly funded federal and state Medicaid spending reached about $871.7 billion during fiscal year 2023, accounting for about 18% of U.S. health expenses. That figure has risen sharply from the roughly $613.5 billion recorded in 2019 before the COVID-19 pandemic.

This constitutes a roughly 40% growth rate over just a few years, attributed mainly to higher enrollment and service use during and since the pandemic.

Recent federal budget acts passed in the Trump administration contained broad measures targeted at decreasing federal Medicaid contributions and adjusting program structures. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the next decade and bring in policies—like work requirements and added cost-sharing—that may result in less coverage and funding for some. As a result, more responsibility for cost would shift to states as federal support levels off, even as millions continue relying on the program.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $926 9260200%
2021 $6,290 579.2%
2022 $9,555 51.9%
2023 $6,261 -34.5%
2024 $12,577 100.9%
Top Categories by Medicaid Payments in Vilonia, Arkansas, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $201,215 5<0.1%
2 Medicine Services and Procedures $147,624 36.7%
3 Alcohol and Drug Abuse Treatment $27,159 6.7%
4 Pathology and Laboratory Procedures $12,577 3.1%
5 Dental Services $6,059 1.5%
6 Evaluation and Management $5,365 1.3%
7 Hearing Services $2,668 0.7%
8 Surgery $51 <0.1%
Top 20 HCPCS Codes Within the Pathology and Laboratory Procedures Category in Vilonia, Arkansas, 2024

HCPCS Code Description Medicaid Payments Claims
87428 Sarscov & inf vir a&b ag ia $12,550 9
87430 Strep a ag ia $26 6

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.



Related

Caleb Michaud, Acting Associate Commissioner for External Affairs of FDA

Cities located in Faulkner County saw FDA inspections of 3 companies in 2025

There were three companies in cities associated with Faulkner County that received three FDA inspections in 2025, according to the U.S. Food and Drug Administration.

Tim Ryals, Sheriff of Faulkner County

Faulkner County Sheriff’s Office announces online auction of seized and surplus property

The Faulkner County Sheriff’s Office will hold an online auction for seized and surplus property this April. Community members can preview items in person before bidding online. The department continues its focus on public safety initiatives throughout Faulkner County.

Tim Ryals, Sheriff of Faulkner County

Faulkner County Sheriff’s Office marks Telecommunicators Week with breakfast donation from McDonald’s

The Faulkner County Sheriff’s Office celebrated National Public Safety Telecommunicators Week with a breakfast donated by McDonald’s. The event aimed to honor local telecommunicators’ contributions. Sheriff Tim Ryals leads an agency focused on community safety across various services.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from North Little Rock Times.