In 2024, Upland Medicaid providers billed a total of $2,837,822 for Radiology Procedures services, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 7.3% increase from 2023, when Medicaid claims for these services reached $2,644,226.
Medicaid, a joint federal and state public health insurance program, covers low-income Americans, seniors, children, and people living with disabilities. It is funded by both levels of government and is a major part of the national health care landscape.
Because Medicaid is taxpayer-funded, shifts in local spending reflect how community health care dollars are allocated.
The “Radiology Procedures” category tracks a group of Medicaid-reimbursed services based on standardized HCPCS and CPT codes. For this analysis, billing codes were placed into a single service group using distinct code prefixes and numeric ranges, streamlining the assessment of related services and ensuring that totals and rankings could be accurately tracked across years.
Radiology Procedures represented the fifth-largest Medicaid payment category in Upland for 2024, even as overall Medicaid spending grew across several types of care.
Statewide, Radiology Procedures was ranked 10th by total Medicaid payments in California for 2024.
Looking at the five-year period ending in 2024, Medicaid payments connected to Radiology Procedures services in Upland rose by $1,462,483, or 106.3%. Some years, including 2021 and 2022, saw particularly notable spending increases.
Most Medicaid payments for Radiology Procedures in Upland were concentrated in a few ZIP codes. In 2024, ZIP code 91786 accounted for $2,800,498, while 91784 made up $37,323. Combined, these two ZIP codes represented 100% of the city’s Medicaid payments for Radiology Procedures during the year.
Payments within the Radiology Procedures service category were also clustered around a small set of billing codes.
Comparatively, Medicaid payments for Radiology Procedures in Upland rose by 7.3% from 2023 to 2024, while all local Medicaid categories increased by 8.2% in the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023. This represented approximately 18% of total national health expenditures, up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth reflects an increase of roughly 40% in just a few years, largely attributable to expanded enrollment and greater service use during and after the pandemic.
Recent federal budget measures under the Trump administration have proposed significant reductions in federal Medicaid funding and changes to program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion over 10 years and implements work requirements and higher cost-sharing. These changes could decrease coverage and funding for some beneficiaries while leaving states with increased financial responsibility as federal support growth is curbed.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,375,339 | -21.9% |
| 2021 | $1,895,577 | 37.8% |
| 2022 | $2,281,689 | 20.4% |
| 2023 | $2,644,225 | 15.9% |
| 2024 | $2,837,822 | 7.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $10,791,880 | 27.9% |
| 2 | Medicine Services and Procedures | $8,313,829 | 21.5% |
| 3 | Procedures / Professional Services | $4,875,432 | 12.6% |
| 4 | Surgery | $3,602,033 | 9.3% |
| 5 | Radiology Procedures | $2,837,822 | 7.3% |
| 6 | Pathology and Laboratory Procedures | $1,885,932 | 4.9% |
| 7 | Drugs Administered Other than Oral Method | $1,226,733 | 3.2% |
| 8 | Prosthetic Procedures | $1,199,749 | 3.1% |
| 9 | National Codes Established for State Medicaid Agencies | $1,090,314 | 2.8% |
| 10 | Temporary National Codes (Non-Medicare) | $1,084,081 | 2.8% |
| 11 | Alcohol and Drug Abuse Treatment | $503,484 | 1.3% |
| 12 | Dental Services | $419,236 | 1.1% |
| 13 | Anesthesia | $223,879 | 0.6% |
| 14 | Chemotherapy Drugs | $168,491 | 0.4% |
| 15 | Temporary Codes | $157,218 | 0.4% |
| 16 | Orthotic Procedures and services | $139,763 | 0.4% |
| 17 | Administrative, Miscellaneous and Investigational | $95,244 | 0.2% |
| 18 | Medical And Surgical Supplies | $34,216 | 0.1% |
| 19 | Vision Services | $22,447 | 0.1% |
| 20 | Pathology and Laboratory Services | $20,565 | 0.1% |
| 21 | Outpatient PPS | $18,906 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 74176 | Ct abd & pelvis w/o contrast | $521,201 | 102 |
| 70450 | Ct head/brain w/o dye | $517,273 | 99 |
| 78815 | Pet image w/ct skull-thigh | $249,508 | 12 |
| 74177 | Ct abd & pelvis w/contrast | $232,948 | 62 |
| 78452 | Ht muscle image spect mult | $170,893 | 36 |
| 71045 | X-ray exam chest 1 view | $143,188 | 122 |
| 72125 | Ct neck spine w/o dye | $125,062 | 26 |
| 71275 | Ct angiography chest | $103,386 | 37 |
| 71046 | X-ray exam chest 2 views | $64,094 | 86 |
| 71260 | Ct thorax dx c+ | $55,827 | 11 |
| 73630 | X-ray exam of foot | $54,500 | 88 |
| 76830 | Transvaginal us non-ob | $43,296 | 25 |
| 76705 | Echo exam of abdomen | $43,071 | 42 |
| 70551 | Mri brain stem w/o dye | $43,028 | 12 |
| 71250 | Ct thorax dx c- | $40,235 | 18 |
| 76801 | Ob us < 14 wks single fetus | $37,995 | 25 |
| 70496 | Ct angiography head | $35,636 | 12 |
| 70486 | Ct maxillofacial w/o dye | $33,722 | 10 |
| 76856 | Us exam pelvic complete | $33,498 | 25 |
| 73564 | X-ray exam knee 4 or more | $20,694 | 27 |
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.