In 2024, Medicaid providers in Tazewell billed a total of $252,064 for Radiology Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 20.7% increase compared with the prior year, when providers submitted $208,863 in claims in this category.
Medicaid, a public health insurance initiative, is administered by states and receives joint funding from federal and state governments. It supports low-income people and families, as well as seniors, children, and individuals with disabilities, remaining a major component of the U.S. health care system.
Because taxpayer funding drives Medicaid payments, fluctuations in local spending reflect community allocation of government health care dollars.
The “Radiology Procedures” category includes a defined set of Medicaid-billed services, grouped by care type using standardized HCPCS and CPT codes. This analysis assigns each billing code to a distinct service group, based on code prefixes and numeric ranges, to allow consistent comparison, avoid duplicating, and support accurate trends tracking.
Radiology Procedures represented the third-highest Medicaid spending category in Tazewell for 2024, among several service categories showing increases across the board.
At the statewide level, Radiology Procedures placed seventh in Virginia for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for Radiology Procedures in Tazewell climbed by $119,349, or 89.9%. Some years saw accelerated spending, with substantial annual increases recorded in both 2023 and 2022.
Though spending reached across the city, Medicaid payments in the Radiology Procedures category were primarily focused in a small number of ZIP codes. In 2024, the 24651 ZIP code accounted for $252,064—representing 100% of Tazewell’s total for this category in that year.
A limited set of individual billing codes comprised most Medicaid payments within the Radiology Procedures category.
Compared with the 20.7% rise in Medicaid payments for Radiology Procedures between 2024 and the previous year, overall Medicaid claims across all categories in the city increased by 10.9% over the same period.
According to the Centers for Medicare & Medicaid Services, state and federal Medicaid spending reached about $871.7 billion during fiscal 2023, amounting to roughly 18% of total national health expenditures, a significant jump from roughly $613.5 billion in 2019, before the start of the COVID-19 pandemic.
This rise marks an approximate 40% growth in a few years, reflecting greater enrollment and higher utilization in the pandemic and post-pandemic periods.
Recent federal budget laws under the Trump administration have included major initiatives to curb federal Medicaid contributions and rework the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion in ten years and introduces changes such as work requirements and greater cost-sharing, potentially affecting coverage and funding for certain enrollees. These modifications are projected to shift more spending responsibility to states and limit growth in federal Medicaid support, yet the program will still cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $132,715 | -30.1% |
| 2021 | $150,062 | 13.1% |
| 2022 | $176,412 | 17.6% |
| 2023 | $208,863 | 18.4% |
| 2024 | $252,064 | 20.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,069,388 | 54.1% |
| 2 | Medicine Services and Procedures | $520,632 | 26.4% |
| 3 | Radiology Procedures | $252,064 | 12.8% |
| 4 | Ambulance and Other Transport Services and Supplies | $56,774 | 2.9% |
| 5 | Procedures / Professional Services | $48,213 | 2.4% |
| 6 | Durable Medical Equipment | $18,691 | 0.9% |
| 7 | Pathology and Laboratory Procedures | $6,782 | 0.3% |
| 8 | Temporary National Codes (Non-Medicare) | $1,275 | 0.1% |
| 9 | National Codes Established for State Medicaid Agencies | $882 | <0.1% |
| 10 | Surgery | $837 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $5 | <0.1% |
| 12 | Dental Services | $0 | <0.1% |
| 12 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 74177 | Ct abd & pelvis w/contrast | $97,504 | 11 |
| 70450 | Ct head/brain w/o dye | $95,334 | 11 |
| 74176 | Ct abd & pelvis w/o contrast | $28,071 | 6 |
| 71046 | X-ray exam chest 2 views | $12,025 | 12 |
| 71045 | X-ray exam chest 1 view | $10,404 | 13 |
| 77067 | Scr mammo bi incl cad | $4,260 | 4 |
| 72125 | Ct neck spine w/o dye | $1,174 | 2 |
| 73610 | X-ray exam of ankle | $846 | 3 |
| 73630 | X-ray exam of foot | $810 | 1 |
| 73030 | X-ray exam of shoulder | $691 | 2 |
| 71250 | Ct thorax dx c- | $364 | 1 |
| 73564 | X-ray exam knee 4 or more | $329 | 1 |
| 73130 | X-ray exam of hand | $247 | 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.
