Torrance Medicaid spending for pathology and lab services reached $18,325,656 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Torrance billed $18,325,656 for Pathology and Laboratory Procedures services, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This amount represented a substantial increase of 479.2%, compared to $3,163,747 in claims for these services in 2023.

Medicaid operates as a public health insurance program managed by states and funded jointly by federal and state governments. It provides coverage for low-income people and families, seniors, children, and individuals with disabilities, making it among the largest pieces of the U.S. health system.

Because Medicaid payments draw from taxpayer funds, changes to billing levels at the local level reflect how health care resources are distributed in a community.

The “Pathology and Laboratory Procedures” category represents Medicaid-billed services grouped by the type of care, using standardized HCPCS and CPT codes. For this review, service categories were determined based on consistent code prefixes and number ranges, ensuring similar services were analyzed together without duplicate counting for clear ranking year to year.

Pathology and Laboratory Procedures was the third largest Medicaid payment category in Torrance in 2024, as spending rose across a range of medical service types.

Statewide in California, the Pathology and Laboratory Procedures classification ranked fifth for total Medicaid payments in 2024.

Torrance Medicaid spending for these services grew by $16,910,108, or 1194.6%, over the five years prior to 2024. Increases accelerated in some years, with significant gains reported in 2023 and 2022.

Although Medicaid-funded service use in this category could be found throughout Torrance, certain ZIP codes concentrated payments. ZIP code 90501 accounted for $16,820,653 in 2024, while 90503 totaled $1,107,342, and 90505 registered $386,259. Altogether, these top 3 ZIP codes made up 99.9% of all Medicaid payments for this category in the city that year.

Only a limited set of individual billing codes accounted for most Medicaid payments within the Pathology and Laboratory Procedures category.

To compare, Medicaid payments associated with this category in Torrance surged 479.2% from 2023 to 2024, while claims across all Medicaid categories rose just 3.9% during that same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023. Medicaid made up roughly 18% of overall U.S. health costs—an increase from about $613.5 billion in 2019 prior to the COVID-19 pandemic.

This change amounts to growth of around 40% in a handful of years, primarily driven by expanded enrollment and greater service use during and after the pandemic.

Recent federal legislation during the Trump administration introduced measures aimed at reducing Medicaid’s federal funding and overhauling aspects of the program. The “One Big Beautiful Bill Act,” for example, became law in 2025, projecting more than $1 trillion in federal spending cuts across the decade. The law put new requirements like work rules and higher cost-sharing into place, changes that may affect coverage and funding for specific people. Experts expect budgets to shift more burden onto states and slow the growth of federal Medicaid support, even while still covering tens of millions.

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 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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