Lubbock Medicaid radiology payments climb to $2.3 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers in Lubbock billed $2,282,672 to Medicaid for services in the Radiology Procedures category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount represents a 15.6% rise over 2023, when $1,974,926 in claims were filed for the same category.

Medicaid, the state-administered health insurance program funded by both federal and state governments, serves low-income families and individuals, children, seniors, and people with disabilities, making it a major component of the U.S. health care landscape.

Since Medicaid payments are sourced from taxpayers, shifts in local provider billing highlight how health care funds are distributed within a community.

The Radiology Procedures category encompasses a range of Medicaid claims defined by care type, assigned using set HCPCS and CPT code groups. As part of this analysis, each code was given a single service category based on code prefixes and numbers to keep related services collated and avoid double counting, preserving the service rankings over time.

Though overall Medicaid expenditures grew in several categories, Radiology Procedures accounted for the ninth highest amount in Lubbock by total Medicaid spending in 2024.

Statewide, Radiology Procedures ranked 10th in Texas for total Medicaid payments in 2024.

Between the five years preceding 2024, Medicaid payments for Radiology Procedures in Lubbock climbed by $1,918,152, a 526.2% jump. Certain years, such as 2021 and 2020, saw sharper year-over-year increases.

While funding for Radiology Procedures was spread across Lubbock, a few ZIP codes dominated. In 2024, ZIP codes 79401 posted $1,262,927, 79410 had $525,114, and 79415 saw $355,096 in Medicaid radiology payments. Altogether, these top 3 ZIP codes made up 93.9% of all Radiology Procedures payments in Lubbock for that year.

Within the broader Radiology Procedures group, spending was focused among just a handful of billing codes.

For perspective, Lubbock’s Medicaid payments for Radiology Procedures rose 15.6% between 2024 and 2023, while the overall Medicaid claim categories in the city went up 21.8% in the same period.

According to the Centers for Medicare & Medicaid Services, state and federal Medicaid expenses totaled about $871.7 billion in fiscal year 2023, which represented roughly 18% of total national health expenditures, up significantly from $613.5 billion in 2019, pre-pandemic.

This increase marks approximately 40% growth in just a few years, attributed mainly to changes in enrollment and greater use of medical services during and after the pandemic period.

Recent federal budget actions taken under the Trump administration include notable initiatives to cut federal Medicaid funding and alter how the program operates. The “One Big Beautiful Bill Act,” enacted in 2025, aims to trim more than $1 trillion from federal Medicaid outlays over the next 10 years and introduces work requirements and added cost-sharing, potentially reducing coverage and funding for some users. These policy changes are expected to shift additional costs to states and slow federal Medicaid spending growth as the program continues to serve tens of millions across the country.

Medicaid Payments Tied to Radiology Procedures in Lubbock, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $364,519 127%
2021 $1,972,427 441.1%
2022 $1,818,244 -7.8%
2023 $1,974,926 8.6%
2024 $2,282,672 15.6%
Top Categories by Medicaid Payments in Lubbock, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $21,971,743 32.8%
2 Evaluation and Management $13,599,769 20.3%
3 Temporary National Codes (Non-Medicare) $7,388,527 11%
4 Medicine Services and Procedures $5,251,392 7.8%
5 Alcohol and Drug Abuse Treatment $4,523,012 6.7%
6 Ambulance and Other Transport Services and Supplies $2,801,904 4.2%
7 Dental Services $2,713,139 4%
8 Pathology and Laboratory Procedures $2,621,328 3.9%
9 Radiology Procedures $2,282,672 3.4%
10 Procedures / Professional Services $1,460,646 2.2%
11 Surgery $1,361,157 2%
12 Durable Medical Equipment $301,370 0.4%
13 Vision Services $206,049 0.3%
14 Diagnostic Radiology Services $153,372 0.2%
15 Medical And Surgical Supplies $148,418 0.2%
16 Anesthesia $117,629 0.2%
17 Drugs Administered Other than Oral Method $51,373 0.1%
18 Orthotic Procedures and services $17,291 <0.1%
19 Outpatient PPS $11,546 <0.1%
20 Enteral and Parenteral Therapy $8,647 <0.1%
21 Temporary Codes $8,372 <0.1%
22 Durable medical equipment (DME) Medicare administrative contractors (MACs) $4,250 <0.1%
23 Administrative, Miscellaneous and Investigational $3,229 <0.1%
24 Hearing Services $3,122 <0.1%
25 Miscellaneous Medical Services $154 <0.1%
26 Other Services $0 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Lubbock, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
74177 Ct abd & pelvis w/contrast $436,698 250
70450 Ct head/brain w/o dye $261,695 319
76816 Ob us follow-up per fetus $180,076 51
71045 X-ray exam chest 1 view $178,113 630
74176 Ct abd & pelvis w/o contrast $164,613 155
76805 Ob us >/= 14 wks sngl fetus $142,718 67
76811 Ob us detailed sngl fetus $99,264 27
76770 Us exam abdo back wall comp $84,398 38
71046 X-ray exam chest 2 views $82,436 321
72125 Ct neck spine w/o dye $63,309 108
76801 Ob us < 14 wks single fetus $56,741 45
76818 Fetal biophys profile w/nst $55,465 12
77067 Scr mammo bi incl cad $45,719 48
71275 Ct angiography chest $45,244 48
72082 X-ray exam entire spi 2/3 vw $36,180 23
76815 Ob us limited fetus(s) $35,592 100
76825 Echo exam of fetal heart $25,297 9
76705 Echo exam of abdomen $23,024 65
77063 Breast tomosynthesis bi $21,451 40
70551 Mri brain stem w/o dye $19,439 22

Note: HCPCS codes are provided for illustration within the category. The totals and rankings referenced in this article use standardized service groups, not individual billing codes.

This article relies on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data can be accessed here.



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