Providers in Hendersonville billed Medicaid for $437,384 in Radiology Procedures services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 102.5% jump from the $215,991 in claims submitted for the same category in 2023.
Medicaid, a state-operated public health insurance program jointly funded by federal and state governments, covers low-income individuals and families, seniors, children, and people with disabilities. It ranks among the largest segments of the U.S. health care system.
Since Medicaid is funded by taxpayers, shifts in community billing patterns demonstrate how public health care resources are distributed locally.
The Radiology Procedures category encompasses a set of Medicaid-billed services defined by the type of care, relying on standardized HCPCS and CPT code groupings. Each billing code for this report was assigned to a single service group using consistent code prefixes and ranges, ensuring related services were grouped while preventing double counting and maintaining accurate historical rankings.
While Medicaid outlays increased in multiple categories, Radiology Procedures ranked seventh among Hendersonville service categories by total Medicaid payments in 2024.
Statewide, the Radiology Procedures category placed 11th in North Carolina for total 2024 Medicaid payments.
From five years prior to 2024, Hendersonville’s Medicaid payments for Radiology Procedures grew by $383,303, representing a 708.8% rise. Certain intervals saw accelerated growth, including notable year-over-year gains in 2021 and 2023.
Citywide spending for Radiology Procedures was distributed but concentrated in a small number of ZIP codes. In 2024, Medicaid payments in ZIP code 28792 totaled $334,575, with 28791 at $102,052, and 28739 at $755. Collectively, these 3 ZIP codes made up 100% of Medicaid payments for Radiology Procedures in Hendersonville for the year.
Payments within this category were also focused among a limited range of billing codes.
For perspective, the 102.5% increase in Medicaid payments for Radiology Procedures between 2024 and 2023 far outpaced the 1.5% change across all Medicaid claim categories in Hendersonville during the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of national health expenditures—a significant increase from $613.5 billion in 2019 before the COVID-19 pandemic.
This surge marks nearly 40% growth in a few years, primarily driven by higher enrollment and greater utilization during and following the pandemic.
Recent federal budget legislation under the Trump administration introduced major proposals to reduce federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut over $1 trillion from Medicaid funding over 10 years, implementing measures such as work requirements and higher cost-sharing that could limit coverage and lower funding for certain beneficiaries. These shifts are expected to transfer more costs to states and restrict the expansion of federal Medicaid support, even as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $54,081 | -39.8% |
| 2021 | $113,114 | 109.2% |
| 2022 | $154,977 | 37% |
| 2023 | $215,990 | 39.4% |
| 2024 | $437,383 | 102.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $10,284,102 | 35.1% |
| 2 | Medicine Services and Procedures | $5,928,953 | 20.2% |
| 3 | National Codes Established for State Medicaid Agencies | $5,425,397 | 18.5% |
| 4 | Alcohol and Drug Abuse Treatment | $4,353,506 | 14.8% |
| 5 | Pathology and Laboratory Procedures | $1,047,954 | 3.6% |
| 6 | Ambulance and Other Transport Services and Supplies | $545,173 | 1.9% |
| 7 | Radiology Procedures | $437,383 | 1.5% |
| 8 | Surgery | $352,579 | 1.2% |
| 9 | Drugs Administered Other than Oral Method | $288,833 | 1% |
| 10 | Temporary National Codes (Non-Medicare) | $165,169 | 0.6% |
| 11 | Procedures / Professional Services | $164,429 | 0.6% |
| 12 | Dental Services | $151,565 | 0.5% |
| 13 | Durable Medical Equipment | $95,599 | 0.3% |
| 14 | Medical And Surgical Supplies | $66,732 | 0.2% |
| 15 | Temporary Codes | $8,538 | <0.1% |
| 16 | Anesthesia | $1,268 | <0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $733 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 74177 | Ct abd & pelvis w/contrast | $358,672 | 75 |
| 71045 | X-ray exam chest 1 view | $24,822 | 129 |
| 70450 | Ct head/brain w/o dye | $21,716 | 29 |
| 76816 | Ob us follow-up per fetus | $12,283 | 19 |
| 71046 | X-ray exam chest 2 views | $10,607 | 26 |
| 76830 | Transvaginal us non-ob | $4,005 | 11 |
| 73630 | X-ray exam of foot | $2,010 | 4 |
| 74176 | Ct abd & pelvis w/o contrast | $1,401 | 2 |
| 73030 | X-ray exam of shoulder | $1,329 | 2 |
| 77067 | Scr mammo bi incl cad | $284 | 1 |
| 77063 | Breast tomosynthesis bi | $250 | 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.
