Radiology Procedures Medicaid payments climb 36% to $5M in Baldwin Park for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Baldwin Park submitted $5,086,210 in claims for Radiology Procedures, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 36% rise from 2023, when billings for these services totaled $3,739,332.

Medicaid, a public health insurance initiative administered by individual states and funded by both federal and state governments, serves low-income individuals, the elderly, children and those with disabilities. This makes it among the largest programs in the U.S. health care landscape.

Because taxpayer dollars fund Medicaid, any fluctuation in local billing illuminates how community health care spending is distributed.

The Radiology Procedures designation includes a set of Medicaid services defined by specific HCPCS and CPT code groupings. In conducting this analysis, each billing code was allocated to one service category using consistent code prefixes and numbers, ensuring services were grouped appropriately and preventing duplicate counts or misranking year over year.

Among all Medicaid service types, Radiology Procedures was the third-highest category by total payments in Baldwin Park for 2024.

Statewide in California, Radiology Procedures ranked tenth in total Medicaid payouts in 2024.

Looking at the period from five years prior to 2024, Medicaid payments for Radiology Procedures in Baldwin Park increased by $2,215,625—a 77.2% rise. The rate of growth varied by year, with major increases noted in 2020 and 2023.

Medicaid spending on Radiology Procedures was distributed citywide, but certain ZIP codes received most of the payments. For 2024, ZIP code 91706 alone accounted for $5,086,209 in billings, making up 100% of the Medicaid payments for the category in Baldwin Park.

Most Medicaid dollars within Radiology Procedures were tied to a narrow selection of billing codes.

Comparatively, Radiology Procedures in Baldwin Park saw a 36% increase in Medicaid reimbursements from 2023 to 2024, outpacing the 6.2% overall change for all Medicaid categories in the locality over the same timeframe.

According to the Centers for Medicare & Medicaid Services, state and federal Medicaid expenditures climbed to roughly $871.7 billion in fiscal year 2023, making up an estimated 18% of total U.S. health care outlays. This was a strong increase from around $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This jump amounts to nearly 40% growth in just a few years, fueled primarily by expanded enrollment and increased usage during and following the pandemic period.

Recent federal budget proposals under the Trump administration have included significant changes to federal Medicaid financing and program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade. The law also adds work requirements and higher cost-sharing, potentially reducing access and federal funding for some beneficiaries. These changes could push more costs to states and slow the pace of federal support, even as the program continues to serve tens of millions nationally.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $2,870,584 48.4%
2021 $2,564,684 -10.7%
2022 $3,070,348 19.7%
2023 $3,739,332 21.8%
2024 $5,086,209 36%
Top Categories by Medicaid Payments in Baldwin Park, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $24,011,919 44.9%
2 Evaluation and Management $13,339,345 24.9%
3 Radiology Procedures $5,086,209 9.5%
4 Medicine Services and Procedures $4,089,419 7.6%
5 Pathology and Laboratory Procedures $2,738,328 5.1%
6 Temporary National Codes (Non-Medicare) $2,196,809 4.1%
7 Dental Services $1,148,546 2.1%
8 Surgery $308,974 0.6%
9 Anesthesia $209,720 0.4%
10 Procedures / Professional Services $151,889 0.3%
11 Drugs Administered Other than Oral Method $137,521 0.3%
12 Administrative, Miscellaneous and Investigational $46,402 0.1%
13 Temporary Codes $22,590 <0.1%
14 Vision Services $20,810 <0.1%
15 Medical And Surgical Supplies $4,874 <0.1%
16 Pathology and Laboratory Services $2,781 <0.1%
17 Outpatient PPS $40 <0.1%
18 Alcohol and Drug Abuse Treatment $0 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Baldwin Park, California, 2024

HCPCS Code Description Medicaid Payments Claims
74177 Ct abd & pelvis w/contrast $712,002 40
77067 Scr mammo bi incl cad $466,081 108
70450 Ct head/brain w/o dye $341,527 98
78452 Ht muscle image spect mult $285,482 21
71046 X-ray exam chest 2 views $251,178 155
74176 Ct abd & pelvis w/o contrast $235,709 17
71045 X-ray exam chest 1 view $165,570 155
70553 Mri brain stem w/o & w/dye $163,672 19
76705 Echo exam of abdomen $152,566 58
77080 Dxa bone density axial $139,256 66
74183 Mri abd w/o cntr flwd cntr $114,763 13
76856 Us exam pelvic complete $114,729 50
76830 Transvaginal us non-ob $104,072 44
70551 Mri brain stem w/o dye $100,492 12
73721 Mri jnt of lwr extre w/o dye $98,537 20
71260 Ct thorax dx c+ $92,679 12
73562 X-ray exam of knee 3 $89,835 45
78815 Pet image w/ct skull-thigh $86,442 4
72100 X-ray exam l-s spine 2/3 vws $82,135 39
73630 X-ray exam of foot $78,436 43

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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