Vallejo Medicaid payments for radiology procedures reach $6,758,484 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Vallejo Medicaid providers billed $6,758,484 for Radiology Procedures services in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 208.3% rise from 2023, when $2,191,935 in claims were made for this category.

Medicaid, a state-administered public health insurance program, is funded jointly by state and federal governments. It serves low-income individuals and families, seniors, children, and those with disabilities, forming a significant segment of the U.S. health care system.

Because taxpayer revenue funds Medicaid, shifts in local billing patterns show how health care funds are distributed within communities.

The “Radiology Procedures” grouping covers a subset of Medicaid-billed services defined by care type, sorted by standardized HCPCS and CPT codes. Each billing code was assigned to one service category in this analysis, using uniform code prefixes and number ranges. This approach groups related procedures for evaluation and avoids duplicate counting, preserving ranking accuracy through time.

Within Vallejo in 2024, Radiology Procedures was the fifth highest service category for total Medicaid payments, even as overall spending increased across numerous categories.

Statewide in California, Radiology Procedures ranked 10th by total Medicaid payments for 2024.

Between 2019 and 2024, Vallejo’s Medicaid payments for Radiology Procedures rose by $5,373,336, an increase of 387.9%. Spending growth accelerated in some periods, including notable jumps in both 2021 and 2022.

Spending in this category was distributed across Vallejo but heavily concentrated in a few ZIP codes. In 2024, ZIP code 94589 reported $6,757,909 in Medicaid payments for Radiology Procedures, while ZIP code 94590 saw $574. Altogether, these top 2 ZIP codes represented 100% of Vallejo Medicaid payments for the category that year.

Payments in the Radiology Procedures category were also focused on a small number of specific billing codes.

For comparison, Medicaid payments related to Radiology Procedures in Vallejo grew by 208.3% from 2023 to 2024, while overall Medicaid claims in the city increased 44.7% over the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023, about 18% of national health care costs. That is up from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump represents an increase of about 40% over several years, mainly driven by higher enrollment and greater utilization during and after the pandemic.

Recent congressional budget measures during the Trump administration introduced significant proposals to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to cut more than $1 trillion from federal Medicaid spending over the next 10 years, adding work requirements and higher cost-sharing provisions that could affect coverage and financing for certain beneficiaries. These changes are expected to shift more expenses to states and limit the expansion of federal Medicaid aid, even as the program continues to serve tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $1,385,147 -18.9%
2021 $1,827,298 31.9%
2022 $2,236,982 22.4%
2023 $2,191,934 -2%
2024 $6,758,484 208.3%
Top Categories by Medicaid Payments in Vallejo, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $17,086,421 29.3%
2 Ambulance and Other Transport Services and Supplies $13,799,144 23.7%
3 Medicine Services and Procedures $7,886,370 13.5%
4 National Codes Established for State Medicaid Agencies $7,353,326 12.6%
5 Radiology Procedures $6,758,484 11.6%
6 Procedures / Professional Services $1,327,412 2.3%
7 Pathology and Laboratory Procedures $1,322,788 2.3%
8 Dental Services $976,385 1.7%
9 Anesthesia $443,149 0.8%
10 Surgery $402,185 0.7%
11 Drugs Administered Other than Oral Method $321,173 0.6%
12 Alcohol and Drug Abuse Treatment $293,468 0.5%
13 Medical And Surgical Supplies $63,380 0.1%
14 Temporary National Codes (Non-Medicare) $58,562 0.1%
15 Durable Medical Equipment $48,148 0.1%
16 Administrative, Miscellaneous and Investigational $35,287 0.1%
17 Hearing Services $30,091 0.1%
18 Temporary Codes $27,028 <0.1%
19 Orthotic Procedures and services $7,005 <0.1%
20 Durable medical equipment (DME) Medicare administrative contractors (MACs) $5,372 <0.1%
21 Outpatient PPS $0 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Vallejo, California, 2024

HCPCS Code Description Medicaid Payments Claims
74177 Ct abd & pelvis w/contrast $1,192,792 124
77067 Scr mammo bi incl cad $587,610 143
70450 Ct head/brain w/o dye $572,713 138
71045 X-ray exam chest 1 view $411,872 374
78815 Pet image w/ct skull-thigh $303,971 9
70551 Mri brain stem w/o dye $271,012 54
71046 X-ray exam chest 2 views $254,519 186
74176 Ct abd & pelvis w/o contrast $242,289 34
73721 Mri jnt of lwr extre w/o dye $180,051 34
72148 Mri lumbar spine w/o dye $165,980 32
76705 Echo exam of abdomen $147,742 57
71260 Ct thorax dx c+ $124,938 18
76830 Transvaginal us non-ob $122,704 38
76642 Ultrasound breast limited $119,863 40
76856 Us exam pelvic complete $118,467 38
71250 Ct thorax dx c- $116,960 26
76815 Ob us limited fetus(s) $106,478 44
73630 X-ray exam of foot $102,553 62
73564 X-ray exam knee 4 or more $101,346 23
70553 Mri brain stem w/o & w/dye $93,211 14

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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