Medicaid payments for radiology procedures surge 205% in Gridley in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Gridley billed $931,466 for services under the Radiology Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This figure represents a 205% rise over 2023, when $305,432 in claims for these services was submitted.

Medicaid, a public health insurance program managed by states and funded by both federal and state governments, covers low-income families and individuals, seniors, children and those with disabilities. It remains a major component of the U.S. health care system.

Because Medicaid is taxpayer-funded, shifts in local billing levels offer insight into how public dollars for health care are being spent in each community.

The “Radiology Procedures” category includes a range of Medicaid-billed services grouped by the type of care, as defined by standardized HCPCS and CPT code sets. To analyze this, billing codes were categorized using set code prefixes and ranges, grouping similar services together without duplications and maintaining consistency across time.

Radiology Procedures had the third-highest Medicaid payment total among service categories in Gridley for 2024, as spending increased across several categories.

Statewide in California, Radiology Procedures placed 10th in Medicaid payment categories by total spending in 2024.

From five years prior to 2024, Medicaid payments for Radiology Procedures in Gridley jumped by $797,694, or 596.3%. Growth rates were especially pronounced in certain years, particularly 2021 and 2023, according to the data.

While spending on Radiology Procedures was distributed citywide, most payments came from only a few ZIP codes. In 2024, ZIP code 95948 accounted for $931,466 in Medicaid payments, with this single ZIP responsible for 100% of the category’s Medicaid spending in Gridley that year.

Within this service category, Medicaid disbursements were focused on a small set of individual billing codes.

Between 2024 and 2023, Medicaid payments in Gridley for Radiology Procedures rose by 205%, compared with an overall 16.4% increase across all Medicaid claims categories for the city over the same period.

The Centers for Medicare & Medicaid Services reported that total federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, representing around 18% of all U.S. health expenditures. This was a significant increase from roughly $613.5 billion recorded in 2019 before the COVID-19 pandemic.

This near-40% growth over a few years was fueled largely by rising enrollment and increased use of services during and after the pandemic period.

Recent federal budgets under the Trump administration have proposed substantial reductions in federal Medicaid funding and structural changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to cut federal Medicaid spending by more than $1 trillion over the coming decade and brings in requirements such as work conditions and higher cost-sharing. These changes are expected to shift more of the financial responsibility onto states and could restrict growth in federal Medicaid support, while the program continues to serve millions across the country.

Medicaid Payments Tied to Radiology Procedures in Gridley, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $133,772 -23.5%
2021 $178,035 33.1%
2022 $232,341 30.5%
2023 $305,432 31.5%
2024 $931,466 205%
Top Categories by Medicaid Payments in Gridley, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $2,004,916 34.4%
2 National Codes Established for State Medicaid Agencies $1,202,345 20.6%
3 Radiology Procedures $931,466 16%
4 Medicine Services and Procedures $841,402 14.4%
5 Procedures / Professional Services $316,503 5.4%
6 Alcohol and Drug Abuse Treatment $288,581 4.9%
7 Pathology and Laboratory Procedures $233,828 4%
8 Drugs Administered Other than Oral Method $13,325 0.2%
9 Anesthesia $885 <0.1%
10 Temporary Codes $223 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Gridley, California, 2024

HCPCS Code Description Medicaid Payments Claims
74176 Ct abd & pelvis w/o contrast $145,253 9
77067 Scr mammo bi incl cad $143,883 11
74177 Ct abd & pelvis w/contrast $114,718 8
70450 Ct head/brain w/o dye $111,873 9
76700 Us exam abdom complete $69,326 10
77063 Breast tomosynthesis bi $61,757 11
72125 Ct neck spine w/o dye $48,470 5
76856 Us exam pelvic complete $48,204 10
71046 X-ray exam chest 2 views $44,287 10
73630 X-ray exam of foot $18,968 10
72131 Ct lumbar spine w/o dye $18,796 2
73564 X-ray exam knee 4 or more $18,513 9
71045 X-ray exam chest 1 view $17,906 9
76830 Transvaginal us non-ob $15,427 3
73030 X-ray exam of shoulder $12,671 7
73610 X-ray exam of ankle $11,723 7
73130 X-ray exam of hand $11,614 6
76641 Ultrasound breast complete $7,280 2
73110 X-ray exam of wrist $4,439 3
74018 Radex abdomen 1 view $3,177 3

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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