Hot Springs Medicaid payments for radiology procedures rise to $2,221 in 2024

In 2024, Medicaid providers in Hot Springs reported $2,221 in billings for services grouped under the Radiology Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 22.6% increase from 2023, when $1,812 in claims were submitted for the same category.

Medicaid, the public health insurance initiative administered by each state and funded jointly by federal and state governments, provides coverage to people and families with low incomes, elderly adults, children, and individuals with disabilities. This makes it one of the foundational components of the U.S. health care system.

Because Medicaid services are taxpayer-funded, shifts in local billing amounts reflect how communities direct public health care expenditures.

The “Radiology Procedures” category includes a collection of Medicaid-billed services identified by care type using standardized HCPCS and CPT groupings. For this review, each code was assigned to a single service group using defined code prefixes and ranges, allowing for comparison of related services without overlap and ensuring accuracy in annual rankings.

Though Medicaid claims rose in several categories, Radiology Procedures ranked fourth overall by total Medicaid spending in Hot Springs during 2024.

Statewide, Radiology Procedures ranked as the seventh largest Medicaid spending category in Virginia during 2024.

Over the five years prior to 2024, Medicaid spending in Hot Springs for Radiology Procedures grew by $1,741, or 363%. Certain periods saw sharp increases, including notable annual jumps in 2021 and 2023.

Spending for Radiology Procedures was distributed throughout Hot Springs but was highly concentrated within a small number of ZIP codes. For example, ZIP code 24445 alone accounted for $2,220 in payments, making up 100% of Medicaid spending for Radiology Procedures in the city during 2024.

Payments in this category were also focused among only a few individual billing codes.

Comparatively, from 2023 to 2024 Medicaid payments tied to the Radiology Procedures category in Hot Springs increased by 22.6%, while total Medicaid payment growth across all claim categories in the city was 48.2% for the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion in fiscal year 2023, representing around 18% of total national health expenditures. This is up sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This expansion equates to roughly 40% growth within a few years, largely attributed to additional enrollment and rising service use during and after the pandemic.

Recent federal budget measures under the Trump administration have included significant proposals to trim federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over 10 years and implements changes like work requirements and greater cost-sharing, which could limit coverage and funding for certain beneficiaries. These moves are anticipated to place more fiscal responsibility on states and slow the growth of federal Medicaid assistance, although the program will continue to serve tens of millions nationwide.

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.