Los Angeles Medicaid radiology procedure spending totals $78 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Los Angeles Medicaid providers billed $78,051,848 for Radiology Procedures in 2024. This represented a 0.4% rise compared to 2023, when the total was $77,739,727 for the same category.

Medicaid is a public health insurance initiative managed by the states and funded through a partnership between federal and state governments. It serves low-income individuals and families, seniors, children, and people with disabilities, making it a core part of the U.S. health care system.

Since Medicaid is funded by taxpayers, variations in billing reflect how communities allocate public health spending.

The “Radiology Procedures” category consists of Medicaid-billed services grouped by care type, according to standardized HCPCS and CPT code sets. This analysis organized each code into a single category using consistent code prefixes and numerical ranges, which ensures related services are grouped together, avoids double counting, and maintains ranking accuracy over time.

While Medicaid expenses rose for several service types, Radiology Procedures ranked seventh by Medicaid payment totals in Los Angeles for 2024.

Statewide in California, the Radiology Procedures category placed 10th for total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments related to Radiology Procedures in Los Angeles increased by $15,113,840, or 24%. This category saw periods of faster annual growth, particularly in 2021 and 2022.

Radiology Procedures Medicaid spending was distributed across Los Angeles, but the majority was concentrated in fewer ZIP codes. In 2024, the three ZIP codes with the largest Medicaid payments for Radiology Procedures were 90025 at $37,281,987, 90027 at $11,548,256, and 90033 at $8,425,371. Combined, these 3 ZIP codes made up 73.4% of all such Medicaid payments in the city for the year.

Medicaid payments within the Radiology Procedures category were further concentrated among a small set of billing codes.

For reference, Medicaid payments for Radiology Procedures in Los Angeles increased 0.4% from 2023 to 2024, while total Medicaid claims citywide rose by 12.9% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures totaled approximately $871.7 billion during fiscal year 2023, which is about 18% of all U.S. health care spending and a significant climb from $613.5 billion in 2019, before the COVID-19 pandemic.

This growth of about 40% over several years can largely be attributed to increased enrollment and higher service use during and following the pandemic.

Recent budget measures enacted under the Trump administration proposed significant cuts to federal Medicaid funding and program restructuring. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion during the next decade and brings new policies such as work requirements and greater cost-sharing, potentially reducing coverage and funding for some enrollees. These policy changes are projected to place more responsibility on states and restrict growth in federal Medicaid support, even as Medicaid continues to serve millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $62,938,008 -1.2%
2021 $69,931,898 11.1%
2022 $76,958,164 10%
2023 $77,739,726 1%
2024 $78,051,848 0.4%
Top Categories by Medicaid Payments in Los Angeles, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $569,995,717 26.5%
2 Medicine Services and Procedures $398,580,366 18.5%
3 Alcohol and Drug Abuse Treatment $359,235,604 16.7%
4 Evaluation and Management $269,652,307 12.5%
5 Temporary National Codes (Non-Medicare) $140,525,379 6.5%
6 Procedures / Professional Services $85,635,112 4%
7 Radiology Procedures $78,051,848 3.6%
8 Pathology and Laboratory Procedures $73,729,299 3.4%
9 Anesthesia $56,555,584 2.6%
10 Dental Services $38,190,827 1.8%
11 Ambulance and Other Transport Services and Supplies $19,073,838 0.9%
12 Surgery $16,031,718 0.7%
13 Drugs Administered Other than Oral Method $10,971,030 0.5%
14 Temporary Codes $10,901,505 0.5%
15 Medical And Surgical Supplies $6,626,671 0.3%
16 Chemotherapy Drugs $4,580,181 0.2%
17 Durable Medical Equipment $4,518,507 0.2%
18 Vision Services $1,246,414 0.1%
19 Hearing Services $1,235,353 0.1%
20 Administrative, Miscellaneous and Investigational $913,883 <0.1%
21 Enteral and Parenteral Therapy $881,282 <0.1%
22 Outpatient PPS $520,140 <0.1%
23 Pathology and Laboratory Services $333,333 <0.1%
24 Coronavirus Diagnostic Panel $286,451 <0.1%
25 Orthotic Procedures and services $258,444 <0.1%
26 Durable medical equipment (DME) Medicare administrative contractors (MACs) $246,641 <0.1%
27 Prosthetic Procedures $103,990 <0.1%
28 Diagnostic Radiology Services $17,411 <0.1%
29 Other Services $0 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Los Angeles, California, 2024

HCPCS Code Description Medicaid Payments Claims
77067 Scr mammo bi incl cad $5,650,075 1,124
74177 Ct abd & pelvis w/contrast $5,503,874 755
78815 Pet image w/ct skull-thigh $4,872,289 196
70553 Mri brain stem w/o & w/dye $3,952,168 478
70450 Ct head/brain w/o dye $3,332,115 1,100
72148 Mri lumbar spine w/o dye $2,979,831 488
70551 Mri brain stem w/o dye $2,665,786 535
73721 Mri jnt of lwr extre w/o dye $2,458,825 359
77386 $2,399,287 99
74176 Ct abd & pelvis w/o contrast $2,273,966 490
77063 Breast tomosynthesis bi $2,001,088 622
76700 Us exam abdom complete $1,647,874 879
71046 X-ray exam chest 2 views $1,611,070 1,507
71045 X-ray exam chest 1 view $1,603,434 2,322
76856 Us exam pelvic complete $1,508,751 764
72141 Mri neck spine w/o dye $1,506,793 313
74178 Ct abd&plv wo cntr flwd cntr $1,498,096 198
76830 Transvaginal us non-ob $1,345,905 651
73221 Mri joint upr extrem w/o dye $1,285,589 213
71250 Ct thorax dx c- $1,247,006 402

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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