Norton sees $81,930 in Medicaid spending on radiology procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, providers in Norton billed $81,930 to Medicaid for services under the Radiology Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 12.3% rise compared with the prior year, when $72,930 in claims were filed for these services.

Medicaid, a public health insurance program funded jointly by both federal and state governments, serves low-income individuals and families, seniors, children and people with disabilities. It is one of the nation’s largest health coverage programs.

Since Medicaid is financed through taxpayer money, shifts in local billing levels reflect changes in the way public health care funds are used in the community.

The “Radiology Procedures” grouping includes a variety of Medicaid-billed services organized by type of care, utilizing standardized HCPCS and CPT code clusters. For this analysis, each billing code fell under a single service category according to consistent code prefixes and number ranges. This method ensured related services were reviewed together, avoiding duplicate counts and helping keep rankings accurate over time.

While Medicaid expenditures rose across different service groupings, Radiology Procedures ranked as the seventh-largest category by Medicaid payments in Norton in 2024.

Statewide in Virginia, Radiology Procedures held the seventh spot for highest Medicaid payments in 2024.

Over the five years leading up to 2024, Medicaid outlays for the Radiology Procedures grouping in Norton rose by $688,282, or 89.4%. The pace of spending grew faster in several years, with noticeable annual increases occurring in both 2023 and 2020.

Although Medicaid spending on Radiology Procedures was recorded throughout the city, a small number of ZIP codes made up most of the payments. In 2024, ZIP code 24273 posted the highest Medicaid spending with $81,929. The top 1 ZIP code was responsible for 100% of the city’s Medicaid outlay in this category during the year.

Among Radiology Procedures, a select number of specific billing codes accounted for most Medicaid payments.

Looking at other category changes, Radiology Procedures rose by 12.3% in Norton from 2023 to 2024, whereas all Medicaid claim categories saw a 16.6% shift in the city over that period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled about $871.7 billion in fiscal 2023, making up roughly 18% of U.S. health costs. This was a significant jump from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

The increase equates to growth of about 40% in just a few years, largely propelled by expanded enrollment and greater health care use during and after the pandemic.

Recent federal budget measures from the Trump administration have advanced several major plans to decrease federal Medicaid support and adjust program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid funding by more than $1 trillion over 10 years. It introduces work requirements and higher cost-sharing, policies expected to reduce both program funding and coverage for some recipients. As a result, states face a greater share of Medicaid costs and more limits on future federal support, even as the program remains essential for millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $770,211 30.2%
2021 $185,859 -75.9%
2022 $55,441 -70.2%
2023 $72,929 31.5%
2024 $81,929 12.3%
Top Categories by Medicaid Payments in Norton, Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $4,397,862 50.9%
2 Alcohol and Drug Abuse Treatment $2,555,788 29.6%
3 National Codes Established for State Medicaid Agencies $890,285 10.3%
4 Medicine Services and Procedures $336,484 3.9%
5 Durable Medical Equipment $141,936 1.6%
6 Pathology and Laboratory Procedures $90,884 1.1%
7 Radiology Procedures $81,929 0.9%
8 Medical And Surgical Supplies $56,789 0.7%
9 Ambulance and Other Transport Services and Supplies $32,375 0.4%
10 Drugs Administered Other than Oral Method $23,196 0.3%
11 Procedures / Professional Services $13,800 0.2%
12 Surgery $11,870 0.1%
13 Durable medical equipment (DME) Medicare administrative contractors (MACs) $3,901 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Norton, Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
76830 Transvaginal us non-ob $51,708 24
76856 Us exam pelvic complete $22,131 18
76816 Ob us follow-up per fetus $4,873 7
76815 Ob us limited fetus(s) $1,625 2
76817 Transvaginal us obstetric $864 1
73564 X-ray exam knee 4 or more $726 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.



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