Hot Springs Medicaid outlays for radiology procedures climb to $2,221 in 2024

In 2024, Medicaid providers in Hot Springs recorded $2,221 in billings for Radiology Procedures services, as shown in the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount reflects a 22.6% rise over 2023, when providers billed $1,812 for this service category.

Medicaid, a public health insurance initiative administered at the state level and supported collectively by both federal and state governments, provides coverage to low-income populations, seniors, children and individuals living with disabilities. It remains one of the largest segments of the nation’s health care system.

Because Medicaid financing is sourced from taxpayers, fluctuations in local billing reflect how public health care funding is distributed within a community.

The “Radiology Procedures” designation encompasses Medicaid-billed services sorted by the type of care, aligned with standardized HCPCS and CPT codes. Billing codes were categorized to a single service group by consistent numeric prefixes and ranges in this review, grouping comparable services together for analysis while avoiding double counting and supporting valid rankings over time.

Radiology Procedures ranked fourth by total Medicaid claims among Hot Springs service categories in 2024, even as Medicaid expenditures grew across multiple areas.

Statewide, Radiology Procedures was the seventh-largest Medicaid expenditure category in Virginia for 2024.

Spanning five years ending in 2024, Hot Springs saw Medicaid spending in the Radiology Procedures group increase by $1,741—an advance of 363%. Growth picked up pace during certain intervals, including in 2021 and 2023, which each saw notable annual jumps.

Distribution of Medicaid spending for Radiology Procedures within Hot Springs spanned the city, but most payments were concentrated in select ZIP codes. In 2024, ZIP code 24445 had the highest billings in this category, at $2,220. This single ZIP code accounted for 100% of Medicaid payments for Radiology Procedures in Hot Springs for the year.

Payments within the Radiology Procedures category were primarily directed toward a small number of unique billing codes.

Looking at the overall comparison, Radiology Procedures saw a 22.6% Medicaid payment jump between 2024 and the previous year, while all Medicaid claim categories in the city showed a 48.2% change in the same timeframe.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal 2023, which represented about 18% of all U.S. health spending—a steep rise from near $613.5 billion in 2019 prior to the COVID-19 pandemic.

This marks approximately 40% growth in just a few years, largely fueled by broadening enrollment and higher care use during and after the pandemic.

Recent congressional budget measures under the Trump administration have included substantial proposals for federal Medicaid cutbacks and restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and brings new requirements—such as work mandates and increased cost-sharing—that are likely to curtail coverage and federal funding access for some recipients. These policy changes are set to increase state fiscal responsibility and could slow the expansion of federal Medicaid support, as the program continues 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.