Gassaway sees $57,818 in Medicaid spending for radiology procedures 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 that Medicaid providers in Gassaway billed $57,818 in 2024 for services under the Radiology Procedures category. This figure represents a 59.5% rise from 2023, when the same services accounted for $36,256 in bills.

Medicaid, a government health insurance program managed by the states and jointly financed by federal and state funds, offers coverage to low-income families and individuals, seniors, children, and those with disabilities, making it one of the most significant components of the U.S. health care system.

Since taxpayer dollars fund Medicaid payments, shifts in local billing reflect how communities distribute their public health care resources.

The “Radiology Procedures” category encompasses a range of Medicaid-billed services grouped by the care provided, using standardized HCPCS and CPT code clusters. For this study, each billing code was assigned to a single service group based on consistent code prefixes and numeric assignments. This allowed analysts to review related services together without double-counting and ensured accurate year-over-year rankings.

While Medicaid spending increased across multiple categories, Radiology Procedures ranked fifth among all service types by total Medicaid payments in Gassaway for 2024.

Statewide in West Virginia, Radiology Procedures ranked as the ninth-largest Medicaid payment category by overall expenditure in 2024.

Medicaid spending in Gassaway tied to the Radiology Procedures category rose by $306,651, or 84.1%, across the five years prior to 2024. There were distinct periods where spending grew more rapidly, particularly during the years 2020 and 2022.

While payments for Radiology Procedures were made citywide, they were heavily concentrated in a few ZIP codes. In 2024, ZIP code 26624 accounted for $57,818 in Medicaid payments for radiology services. Overall, the leading ZIP code represented 100% of Gassaway’s Medicaid payments tied to this category for the year.

A small set of specific billing codes received the majority of Medicaid payments within Radiology Procedures.

From 2023 to 2024, Medicaid payments in Gassaway for radiology services increased by 59.5%, while overall Medicaid claim categories citywide rose by 15.8% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state spending on Medicaid totaled about $871.7 billion in fiscal 2023, about 18% of all health expenditures in the U.S., showing a sharp increase from approximately $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This 40% increase over a handful of years was propelled by more people enrolling and increased care utilization during and after the pandemic period.

Recent federal budget legislation passed under the Trump administration has featured significant measures to limit federal Medicaid contributions and revise how the program operates. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, projects to lower federal Medicaid funding by more than $1 trillion in the next decade and imposes policies such as work requirements and higher cost-sharing, which could affect coverage and funding for some enrollees. The changes are projected to transfer more costs to states and restrain the growth of federal Medicaid support, even as the program continues to insure tens of millions of Americans.

Medicaid Payments Tied to Radiology Procedures in Gassaway, West Virginia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $364,469 155.1%
2021 $168,253 -53.8%
2022 $74,252 -55.9%
2023 $36,255 -51.2%
2024 $57,818 59.5%
Top Categories by Medicaid Payments in Gassaway, West Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,412,202 65.2%
2 National Codes Established for State Medicaid Agencies $430,196 19.9%
3 Pathology and Laboratory Procedures $152,050 7%
4 Medicine Services and Procedures $92,537 4.3%
5 Radiology Procedures $57,818 2.7%
6 Dental Services $11,755 0.5%
7 Procedures / Professional Services $4,237 0.2%
8 Surgery $3,282 0.2%
9 Temporary Codes $253 <0.1%
10 Drugs Administered Other than Oral Method $186 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Gassaway, West Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
74177 Ct abd & pelvis w/contrast $17,877 3
70450 Ct head/brain w/o dye $15,353 8
74176 Ct abd & pelvis w/o contrast $11,904 4
71045 X-ray exam chest 1 view $6,860 13
71046 X-ray exam chest 2 views $5,821 9

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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