In 2024, Medicaid providers in Waverly billed $595,399 for services classified under the Radiology Procedures category, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This represented a 34.6% increase from 2023, when providers reported $442,275 for the same services.
Medicaid operates as a public health insurance program overseen by states and supported with joint federal and state funding. It provides coverage for low-income individuals, seniors, children, and people with disabilities, and remains a major component of the U.S. health care system.
Since Medicaid is financed by taxpayers, amounts billed locally reflect how public health care funds are distributed in the community.
The “Radiology Procedures” category encompasses a set of Medicaid-billed services organized by procedure type, based on standard HCPCS and CPT code groupings. Each code in this analysis was placed into a single service group using uniform code prefixes and number ranges, helping group related services while preventing double counting and supporting consistent rankings over time.
Although Medicaid expenditures grew in several categories, Radiology Procedures ranked as the fifth-highest category by total Medicaid payments in Waverly for 2024.
Across Ohio, Radiology Procedures ranked sixth by Medicaid payment totals in 2024.
Over the five years ending in 2024, Medicaid payments connected to the Radiology Procedures category in Waverly climbed by $535,205, or 889.1%. Spending growth accelerated at several points, especially with substantial year-over-year gains noted in both 2023 and 2020.
While the expenditure for Radiology Procedures was citywide, most payments concentrated in a small number of ZIP codes. In 2024, ZIP code 45690 accounted for $595,399 in Medicaid payments for the category. The top ZIP code represented 100% of Medicaid payments related to Radiology Procedures in Waverly for the year.
Within the Radiology Procedures category, a small set of billing codes received the majority of Medicaid payments.
Comparing categories, Medicaid payments for Radiology Procedures in Waverly rose by 34.6% from 2023 to 2024, while all Medicaid claim categories in the city increased by 18.4% in the same period.
The Centers for Medicare & Medicaid Services reports that total Medicaid spending by state and federal governments reached approximately $871.7 billion in fiscal year 2023, about 18% of national health spending. That was up from $613.5 billion in 2019, before the pandemic.
This growth marks an increase of about 40% over just a few years, driven mainly by broader enrollment and higher service use during and after the COVID-19 pandemic.
Recent federal budget changes under the Trump administration introduced significant proposals to decrease federal Medicaid funding and reform the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over 10 years and introduces measures such as work requirements and increased cost-sharing, which could cut coverage and funding for certain beneficiaries. These adjustments are likely to increase states’ share of Medicaid funding and restrict the growth of federal contributions, despite the program’s continued coverage for tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $60,193 | 91.4% |
| 2021 | $98,228 | 63.2% |
| 2022 | $128,811 | 31.1% |
| 2023 | $442,274 | 243.4% |
| 2024 | $595,399 | 34.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $5,876,512 | 56.8% |
| 2 | Evaluation and Management | $1,472,533 | 14.2% |
| 3 | Medicine Services and Procedures | $848,529 | 8.2% |
| 4 | National Codes Established for State Medicaid Agencies | $661,595 | 6.4% |
| 5 | Radiology Procedures | $595,399 | 5.8% |
| 6 | Procedures / Professional Services | $477,268 | 4.6% |
| 7 | Dental Services | $200,144 | 1.9% |
| 8 | Pathology and Laboratory Procedures | $120,340 | 1.2% |
| 9 | Surgery | $46,644 | 0.5% |
| 10 | Durable Medical Equipment | $35,774 | 0.3% |
| 11 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $3,878 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $1,228 | <0.1% |
| 13 | Medical And Surgical Supplies | $797 | <0.1% |
| 14 | Coronavirus Diagnostic Panel | $572 | <0.1% |
| 15 | Temporary Codes | $454 | <0.1% |
| 16 | Outpatient PPS | $16 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 74176 | Ct abd & pelvis w/o contrast | $214,831 | 11 |
| 70450 | Ct head/brain w/o dye | $155,852 | 11 |
| 74177 | Ct abd & pelvis w/contrast | $92,801 | 11 |
| 72148 | Mri lumbar spine w/o dye | $25,367 | 6 |
| 73721 | Mri jnt of lwr extre w/o dye | $22,460 | 5 |
| 71250 | Ct thorax dx c- | $21,368 | 9 |
| 71275 | Ct angiography chest | $20,267 | 4 |
| 76705 | Echo exam of abdomen | $18,734 | 9 |
| 71046 | X-ray exam chest 2 views | $7,484 | 11 |
| 73630 | X-ray exam of foot | $2,831 | 9 |
| 72125 | Ct neck spine w/o dye | $2,634 | 5 |
| 73130 | X-ray exam of hand | $2,436 | 8 |
| 72100 | X-ray exam l-s spine 2/3 vws | $2,306 | 5 |
| 71045 | X-ray exam chest 1 view | $1,672 | 12 |
| 73030 | X-ray exam of shoulder | $1,575 | 4 |
| 76536 | Us exam of head and neck | $962 | 1 |
| 73610 | X-ray exam of ankle | $816 | 5 |
| 73560 | X-ray exam of knee 1 or 2 | $481 | 3 |
| 74018 | Radex abdomen 1 view | $312 | 1 |
| 73110 | X-ray exam of wrist | $133 | 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.