In 2024, Medicaid providers in Gainesville submitted $2,851 in billing for services grouped under the Radiology Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That figure represents a 479.5% gain from 2023, when $492 in claims were filed for the same services.
Medicaid operates as a government health insurance program managed by the states and funded jointly by federal and state governments. The program covers qualifying low-income people, elderly adults, children and individuals with disabilities, making it a major segment of health care across the United States.
Because Medicaid funds originate from taxpayers, shifts in local claims highlight how public health dollars are distributed at the community level.
The “Radiology Procedures” grouping comprises Medicaid-billed services classified according to the care provided, based on designated HCPCS and CPT code groupings. For this analysis, each billing code was assigned to a corresponding service category, relying on standardized code prefixes and numerical ranges to allow a consolidated view of related procedures, while minimizing overlap and supporting accurate longitudinal analysis.
Medicaid spending grew in several service groupings, with Radiology Procedures placing eighth in Gainesville for total Medicaid payments in 2024.
Statewide in Virginia, Radiology Procedures ranked seventh among all Medicaid service categories by total payments in 2024.
During the five years ending in 2024, Medicaid payments attributed to the Radiology Procedures category in Gainesville rose by $2,851, or 0%. The tempo of spending growth increased during certain stretches, including significant year-over-year gains in 2023 and 2022.
Although Medicaid payments for Radiology Procedures were recorded throughout the city, the amounts were concentrated in just a few ZIP codes. In 2024, ZIP code 20155 accounted for $2,850 of the total, representing 100% of Gainesville’s Medicaid outlays for Radiology Procedures that year.
Payments within the Radiology Procedures group were also focused among a small subset of individual procedure codes.
Looking at comparative data, Medicaid claims for the Radiology Procedures category in Gainesville jumped 479.5% between 2024 and 2023, outpacing a 14.4% rise across all Medicaid claim groups in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled about $871.7 billion in fiscal year 2023, or roughly 18% of U.S. health expenditures, rising sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase marks growth of around 40% in just a few years, driven mainly by increases in enrollment and greater use of services during and since the pandemic.
Recent federal budget measures under the Trump administration included major proposals to cut federal Medicaid funding and change how the program is structured. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the coming decade. The legislation also brings in requirements for work and more cost-sharing, which could reduce coverage and funding for certain beneficiaries. As a result, more costs may shift to states and the growth of federal Medicaid support could slow, even while tens of millions of Americans continue to use the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $4,628 | – |
| 2023 | $491 | -89.4% |
| 2024 | $2,850 | 479.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $3,141,936 | 45.6% |
| 2 | National Codes Established for State Medicaid Agencies | $2,600,859 | 37.7% |
| 3 | Medicine Services and Procedures | $617,475 | 9% |
| 4 | Evaluation and Management | $308,039 | 4.5% |
| 5 | Ambulance and Other Transport Services and Supplies | $140,784 | 2% |
| 6 | Components, Accessories and Supplies | $46,833 | 0.7% |
| 7 | Pathology and Laboratory Procedures | $35,926 | 0.5% |
| 8 | Radiology Procedures | $2,850 | <0.1% |
| 9 | Procedures / Professional Services | $147 | <0.1% |
| 10 | Surgery | $127 | <0.1% |
| 11 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 71046 | X-ray exam chest 2 views | $2,850 | 5 |
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.
