Templeton Medicaid radiology payments jump 25306.8% in 2024, reaching $1,064,038

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Templeton billed $1,064,038 for Radiology Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 25306.8% jump from 2023, when claims in the same category totaled $4,188.

Medicaid provides health insurance coverage to low-income families and individuals—including seniors, children and those with disabilities—under a program that is administered by the states and financed jointly with federal and state funds. As one of the nation’s largest healthcare programs, Medicaid covers a broad swath of Americans.

Fluctuations in Medicaid billing at the local level reflect how public health dollars from taxpayers support care within communities.

The Radiology Procedures category comprises Medicaid-billed services grouped according to standardized HCPCS and CPT code prefixes and number ranges. For this analysis, each billing code was included in one service category to support analysis of like services, prevent double counting, and keep consistent service rankings over time.

Although Medicaid spending grew in various other service areas, Radiology Procedures was the third-largest category by Medicaid outlay in Templeton for 2024.

Statewide, Radiology Procedures placed 10th by total Medicaid payments in California for the year.

Analyzing the period from 2019 to 2024, Templeton saw a cumulative $998,685 rise in Medicaid payments in the Radiology Procedures category, an increase of 1528.1%. Certain years, notably 2020 and 2022, saw the highest year-to-year gains in spending.

Though payments for Radiology Procedures occurred throughout Templeton, most funds were concentrated in only a few ZIP codes. In 2024, ZIP code 93465 alone accounted for $1,064,038, making up 100% of Radiology Procedures Medicaid payments reported in the city that year.

Most Medicaid spending within the Radiology Procedures category was concentrated around a few select billing codes.

In 2024, Medicaid payments for Radiology Procedures jumped 25306.8% in Templeton compared with the previous year, while payments across all claim types in the city increased by 14.8% in the same span.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion during fiscal year 2023. That figure represented around 18% of national health expenses—up from about $613.5 billion in 2019, before COVID-19.

The rise amounts to a roughly 40% increase over a few years, primarily due to broader program enrollment and higher service use related to pandemic trends.

Recent budget laws enacted under the Trump administration introduced major proposals to limit federal Medicaid contributions and modify how the program operates. For example, the “One Big Beautiful Bill Act,” which became law in 2025, aims to cut over $1 trillion in federal Medicaid funds over 10 years and features requirements such as increased cost-sharing and work obligations. These policy changes are likely to shift greater costs to state budgets and may limit federal Medicaid growth, even while the program remains significant for millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $65,353 33.1%
2021 $38,495 -41.1%
2022 $10,102 -73.8%
2023 $4,187 -58.5%
2024 $1,064,038 25307.6%
Top Categories by Medicaid Payments in Templeton, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $5,370,939 63.5%
2 Evaluation and Management $1,250,392 14.8%
3 Radiology Procedures $1,064,038 12.6%
4 Anesthesia $293,135 3.5%
5 Alcohol and Drug Abuse Treatment $154,753 1.8%
6 Surgery $135,431 1.6%
7 Medicine Services and Procedures $122,273 1.4%
8 Chemotherapy Drugs $19,239 0.2%
9 Temporary National Codes (Non-Medicare) $16,096 0.2%
10 Pathology and Laboratory Procedures $13,237 0.2%
11 Vision Services $5,817 0.1%
12 Drugs Administered Other than Oral Method $4,214 <0.1%
13 Procedures / Professional Services $1,130 <0.1%
14 Administrative, Miscellaneous and Investigational $784 <0.1%
15 Temporary Codes $520 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Templeton, California, 2024

HCPCS Code Description Medicaid Payments Claims
77067 Scr mammo bi incl cad $209,564 58
74177 Ct abd & pelvis w/contrast $145,575 70
77063 Breast tomosynthesis bi $91,940 58
76856 Us exam pelvic complete $88,118 38
76830 Transvaginal us non-ob $76,634 28
76705 Echo exam of abdomen $65,162 55
70450 Ct head/brain w/o dye $63,257 70
73721 Mri jnt of lwr extre w/o dye $48,670 12
71045 X-ray exam chest 1 view $38,369 113
76700 Us exam abdom complete $38,077 15
74176 Ct abd & pelvis w/o contrast $33,945 23
72148 Mri lumbar spine w/o dye $24,057 10
71046 X-ray exam chest 2 views $15,740 58
76642 Ultrasound breast limited $15,635 14
70551 Mri brain stem w/o dye $15,338 5
73221 Mri joint upr extrem w/o dye $15,006 5
76770 Us exam abdo back wall comp $10,358 9
76536 Us exam of head and neck $9,236 5
72125 Ct neck spine w/o dye $7,290 11
70553 Mri brain stem w/o & w/dye $7,245 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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