Rome’s Medicaid payments for radiology procedures total $3,166,768 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid expenditures for services within the Radiology Procedures category in Rome totaled $3,166,768, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflected a 3.4% uptick compared with 2023, when $3,061,927 was billed for these procedures.

Medicaid is an insurance program operated at the state level and funded by federal and state governments together. It offers health coverage to eligible low-income individuals and families, older adults, children, and people with disabilities, remaining a key component of the nation’s health care landscape.

Since Medicaid funding is derived from taxpayers, local changes in billing reflect how public health care resources are distributed throughout a community.

The “Radiology Procedures” service grouping captures a defined set of services based on specific HCPCS and CPT code allocations. This assessment placed each code into a particular category through set code prefixes and numerical ranges, so services could be grouped accurately, double counting would be avoided, and longitudinal rankings would stay consistent.

Across various Medicaid service segments, spending was on the rise, with Radiology Procedures placing second by total Medicaid payments in Rome in 2024.

Statewide, Radiology Procedures was the sixth-highest category in Georgia for Medicaid payments that year.

Looking at the five-year span before 2024, Medicaid reimbursements for Radiology Procedures in Rome climbed $1,098,174—an increase of 53.1%. Certain intervals saw accelerated spending, including notable annual gains in 2023 and 2022.

Spending in this care category, while distributed citywide, was predominantly concentrated in select ZIP codes. During 2024, the ZIP codes with the largest Medicaid payments for Radiology Procedures included 30161, with $3,158,140, and 30165, totaling $8,627. Together, these two areas made up all Medicaid payments for radiology procedures in Rome during 2024.

Within this service group, Medicaid payments were also focused among a relatively small cluster of billing codes.

A comparative look shows that Medicaid payments for Radiology Procedures in Rome grew by 3.4% from 2023 to 2024—while citywide, Medicaid claim payments increased by 6.7% across all service categories in the same period.

Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid expenditures reached approximately $871.7 billion in the 2023 fiscal year. That figure comprised 18% of national health spending, rising rapidly from the 2019 total of about $613.5 billion before the onset of the COVID-19 pandemic.

This growth represents an increase of roughly 40% in a few years, with much of the surge attributed to higher enrollment and utilization around and after the pandemic era.

Federal budget legislation during the Trump administration has proposed significant changes to federal Medicaid funding and the structure of the program. The “One Big Beautiful Bill Act,” which became law in 2025, is forecast to reduce federal Medicaid support by over $1 trillion in the next decade and introduces measures such as work requirements and increased cost-sharing obligations that may reduce access and funding for some participants. These measures are anticipated to transfer additional costs to states and cap future federal Medicaid growth, though the program continues to impact millions nationwide.

Medicaid Payments Tied to Radiology Procedures in Rome, Georgia Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,068,594 -9%
2021 $2,241,285 8.3%
2022 $2,529,450 12.9%
2023 $3,061,926 21.1%
2024 $3,166,767 3.4%
Top Categories by Medicaid Payments in Rome, Georgia, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $7,695,149 42.6%
2 Radiology Procedures $3,166,767 17.5%
3 Medicine Services and Procedures $2,550,668 14.1%
4 Pathology and Laboratory Procedures $1,604,329 8.9%
5 Surgery $1,222,624 6.8%
6 Ambulance and Other Transport Services and Supplies $877,863 4.9%
7 Procedures / Professional Services $850,002 4.7%
8 Dental Services $62,974 0.3%
9 Drugs Administered Other than Oral Method $43,840 0.2%
10 Pathology and Laboratory Services $862 <0.1%
11 Administrative, Miscellaneous and Investigational $404 <0.1%
12 Temporary Codes $65 <0.1%
13 Outpatient PPS $22 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Rome, Georgia, 2024

HCPCS Code Description Medicaid Payments Claims
74177 Ct abd & pelvis w/contrast $861,745 13
71046 X-ray exam chest 2 views $504,443 12
70450 Ct head/brain w/o dye $371,685 16
74176 Ct abd & pelvis w/o contrast $200,924 12
71045 X-ray exam chest 1 view $181,656 45
72125 Ct neck spine w/o dye $108,504 11
76705 Echo exam of abdomen $76,842 11
76801 Ob us < 14 wks single fetus $57,204 11
76642 Ultrasound breast limited $50,106 11
71260 Ct thorax dx c+ $45,160 10
73630 X-ray exam of foot $44,953 23
71275 Ct angiography chest $43,088 11
74019 Radex abdomen 2 views $41,984 12
74018 Radex abdomen 1 view $41,037 12
73610 X-ray exam of ankle $37,161 12
76817 Transvaginal us obstetric $31,615 11
73030 X-ray exam of shoulder $30,131 11
77067 Scr mammo bi incl cad $28,519 12
73110 X-ray exam of wrist $27,041 11
70486 Ct maxillofacial w/o dye $26,247 8

Note: HCPCS codes are provided for contextual clarity. Totals and rankings discussed in this report rely on grouped services, not on the individual billing codes.

The data presented here is drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original dataset can be accessed here.



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