Carson sees 21.7% increase in Medicaid payments for radiology procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Carson billed $74,811 for Radiology Procedures services, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 21.7% compared to 2023, when providers submitted $61,482 in claims for the same category of service.

Medicaid, a state-administered public health insurance program funded by both federal and state governments, serves low-income people, seniors, children, and individuals with disabilities. It remains one of the largest components of the U.S. health care system.

Shifts in local Medicaid billing highlight where public health care dollars are allocated within a community, as all payments are ultimately taxpayer-funded.

The “Radiology Procedures” classification covers a set of Medicaid-billed services defined by care type, according to standardized HCPCS and CPT code groups. For this report, each billing code was placed into a single service category using unified code prefixes and ranges, ensuring related services were combined properly while maintaining accurate historical rankings and avoiding double counting.

While several Medicaid service categories saw higher spending, Radiology Procedures ranked ninth for total Medicaid payments in Carson in 2024.

Statewide in California, Radiology Procedures was the 10th largest category by total Medicaid payments for the year.

Between 2019 and 2024, Medicaid payments for Radiology Procedures in Carson grew by $74,746, equivalent to a 114,640.8% increase. Surges were most notable in 2021 and 2022, with marked annual gains seen in those periods.

Spending for Radiology Procedures services in 2024 was distributed throughout Carson but was concentrated in a small number of ZIP codes. The 90745 ZIP code led with $74,810 in Medicaid payments for these services, accounting for 100% of the city’s Medicaid payments in this category in 2024.

Payments within the Radiology Procedures category were largely focused on a handful of individual billing codes.

For context, Medicaid payments for Radiology Procedures in Carson grew by 21.7% between 2024 and 2023, compared to a 22.1% change across all Medicaid claim categories in the city during the same period.

Data from the Centers for Medicare & Medicaid Services shows that federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, which was approximately 18% of all U.S. health care spending. This was a substantial rise from $613.5 billion in 2019, before the COVID-19 pandemic.

This rise represents a roughly 40% increase in just a few years, driven mainly by expanded program enrollment and greater service utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have introduced major plans to reduce federal Medicaid funding and alter the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid funds over 10 years, introducing requirements such as work mandates and higher cost-sharing which could reduce access and funding for some enrollees. These policy changes are projected to shift more costs to states and could curb the rate of federal Medicaid spending growth, even as the program continues to support tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $65
2021 $5,644 8557.1%
2022 $28,001 396.1%
2023 $61,481 119.6%
2024 $74,810 21.7%
Top Categories by Medicaid Payments in Carson, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $5,248,260 45.2%
2 Medicine Services and Procedures $1,691,555 14.6%
3 Dental Services $1,475,589 12.7%
4 Temporary National Codes (Non-Medicare) $1,307,583 11.3%
5 Evaluation and Management $1,234,358 10.6%
6 Pathology and Laboratory Procedures $199,378 1.7%
7 Anesthesia $117,587 1%
8 Procedures / Professional Services $77,322 0.7%
9 Radiology Procedures $74,810 0.6%
10 Durable medical equipment (DME) Medicare administrative contractors (MACs) $72,920 0.6%
11 Drugs Administered Other than Oral Method $48,320 0.4%
12 Alcohol and Drug Abuse Treatment $22,004 0.2%
13 Vision Services $15,952 0.1%
14 Surgery $13,059 0.1%
15 Medical And Surgical Supplies $11,852 0.1%
16 Coronavirus Diagnostic Panel $4,883 <0.1%
17 Temporary Codes $3,305 <0.1%
18 Durable Medical Equipment $288 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Carson, California, 2024

HCPCS Code Description Medicaid Payments Claims
71046 X-ray exam chest 2 views $17,108 20
70486 Ct maxillofacial w/o dye $14,242 9
76700 Us exam abdom complete $11,057 10
76770 Us exam abdo back wall comp $10,992 12
76856 Us exam pelvic complete $4,974 9
76377 3d render w/intrp postproces $3,359 19
76830 Transvaginal us non-ob $3,163 5
70480 Ct orbit/ear/fossa w/o dye $2,780 2
75571 Ct hrt w/o dye w/ca test $2,348 3
72100 X-ray exam l-s spine 2/3 vws $1,241 5
77089 Tbs dxa cal w/i&r fx risk $1,034 4
77080 Dxa bone density axial $853 4
77086 Vrt fracture assmt via dxa $511 4
77081 Dxa bone density appendiculr $435 4
72040 X-ray exam neck spine 2-3 vw $251 1
73564 X-ray exam knee 4 or more $220 1
73562 X-ray exam of knee 3 $139 1
73630 X-ray exam of foot $95 1

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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