Antioch Medicaid radiology procedures billings total $9,014,911 in 2024, up 73%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Antioch providers submitted $9,014,911 in Medicaid claims for Radiology Procedures services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 73.4% increase from 2023, when claims for the same service reached $5,199,108.

Medicaid, a joint federal-state health insurance program, is funded by both federal and state governments. It serves low-income individuals and families, elderly people, children, and those with disabilities, and is a major component of U.S. health care.

Because Medicaid payments rely on taxpayer funding, trends in local claim amounts reflect community allocation of public health resources.

The “Radiology Procedures” classification covers a set of Medicaid-billed services identified by their specific care type, using standardized HCPCS and CPT code ranges. For this report, individual billing codes were assigned to related service groupings using set codes and numerical intervals. This method helped track service trends while avoiding overlap and ensuring correct rankings.

Though Medicaid expenditures increased for several types of care, Radiology Procedures was the second largest category by Medicaid spending in Antioch in 2024.

Across California, Radiology Procedures was the 10th highest Medicaid payment category in 2024.

In the five years prior to 2024, Medicaid spending on Radiology Procedures services in Antioch surged by $7,645,792, an increase of 558.4%. Spending growth was particularly robust during select periods, notably in 2021 and 2023, with pronounced year-over-year increases.

Although funding for Radiology Procedures was used throughout Antioch, payments were heavily concentrated in just a few ZIP codes. In 2024, the ZIP codes with the largest Medicaid payments for Radiology Procedures were 94531, comprising $4,548,722, and 94509, with $4,466,189. Together, these ZIP codes represented all Medicaid spending in this category in the city for the year.

Within Radiology Procedures, the majority of Medicaid reimbursements were directed toward a few specific billing codes.

For reference, the 73.4% year-over-year growth in Medicaid spending for Radiology Procedures in Antioch outpaced the 32.7% increase across all local Medicaid claim categories for the same period.

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

This reflects approximately 40% growth over several years, fueled by broader enrollment and increased service use during and after the pandemic.

Bills passed during the Trump administration have introduced significant cuts to federal Medicaid funding and changes to the program. For example, the “One Big Beautiful Bill Act”, enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next 10 years. It also establishes policies like work requirements and higher cost-sharing, potentially decreasing coverage and funding for certain groups. These adjustments are likely to transfer more financial responsibility to states while limiting federal support, even as Medicaid continues to serve millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $1,369,118 11.1%
2021 $2,557,203 86.8%
2022 $3,541,985 38.5%
2023 $5,199,108 46.8%
2024 $9,014,911 73.4%
Top Categories by Medicaid Payments in Antioch, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $11,045,124 22.3%
2 Radiology Procedures $9,014,911 18.2%
3 National Codes Established for State Medicaid Agencies $8,700,109 17.6%
4 Medicine Services and Procedures $7,909,762 16%
5 Anesthesia $3,116,659 6.3%
6 Pathology and Laboratory Procedures $2,787,366 5.6%
7 Ambulance and Other Transport Services and Supplies $2,048,900 4.1%
8 Dental Services $1,497,683 3%
9 Drugs Administered Other than Oral Method $1,034,767 2.1%
10 Temporary National Codes (Non-Medicare) $897,595 1.8%
11 Surgery $473,257 1%
12 Procedures / Professional Services $433,210 0.9%
13 Chemotherapy Drugs $180,994 0.4%
14 Administrative, Miscellaneous and Investigational $100,007 0.2%
15 Temporary Codes $80,922 0.2%
16 Orthotic Procedures and services $57,047 0.1%
17 Vision Services $34,477 0.1%
18 Alcohol and Drug Abuse Treatment $11,939 <0.1%
19 Medical And Surgical Supplies $8,743 <0.1%
20 Durable Medical Equipment $5,564 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Antioch, California, 2024

HCPCS Code Description Medicaid Payments Claims
78815 Pet image w/ct skull-thigh $1,218,513 32
74177 Ct abd & pelvis w/contrast $902,038 56
77067 Scr mammo bi incl cad $426,512 42
71046 X-ray exam chest 2 views $369,961 148
70450 Ct head/brain w/o dye $335,131 84
77014 $316,858 39
76856 Us exam pelvic complete $278,153 53
76830 Transvaginal us non-ob $275,527 44
76700 Us exam abdom complete $216,642 34
74176 Ct abd & pelvis w/o contrast $212,633 37
72148 Mri lumbar spine w/o dye $205,104 26
73721 Mri jnt of lwr extre w/o dye $187,977 23
76641 Ultrasound breast complete $157,009 33
76705 Echo exam of abdomen $153,849 45
71275 Ct angiography chest $153,169 22
70551 Mri brain stem w/o dye $146,625 29
71045 X-ray exam chest 1 view $142,894 168
78013 Thyroid imaging w/blood flow $120,774 30
76825 Echo exam of fetal heart $114,279 20
76805 Ob us >/= 14 wks sngl fetus $113,999 20

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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