Palm Desert Medicaid billing for radiology procedures climbed 5.4% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Palm Desert Medicaid providers submitted $3,899,364 in claims for Radiology Procedures services in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total rose 5.4% compared with 2023, when $3,698,976 in claims were filed for this type of service.

Medicaid is a public health insurance program administered by states and funded jointly by federal and state governments. It provides coverage for low-income people and families, seniors, children, and people with disabilities, making it one of the largest health care programs in the U.S.

Spending shifts in Medicaid billing at the local level show how taxpayer funds are distributed within the community for health care.

The “Radiology Procedures” category includes a collection of Medicaid-billed services grouped by type, using standardized HCPCS and CPT billing code prefixes and ranges. In this analysis, each billing code was assigned to one service category to group related services, prevent overlaps, and maintain accurate rankings over time.

Medicaid payments for Radiology Procedures placed third in total category spending in Palm Desert for 2024, following increases across several service areas.

Statewide, Radiology Procedures were ranked 10th by Medicaid payment total in California in 2024.

Across the five years ending in 2024, Palm Desert’s Medicaid spending for Radiology Procedures rose by $661,679, or 20.4%. Notable annual increases occurred in 2023 and 2022 as growth accelerated during those periods.

While payments for Radiology Procedures were dispersed citywide, most of the Medicaid payments were reported from a small group of ZIP codes. In 2024, ZIP code 92260 accounted for $3,839,165 and 92211 accounted for $60,198. Combined, these two areas made up all Medicaid payments in Palm Desert for Radiology Procedures in the year.

A limited selection of billing codes accounted for the majority of Medicaid payments within the Radiology Procedures category.

For context, Palm Desert’s Medicaid payments for Radiology Procedures increased by 5.4% between 2024 and 2023, compared with a rise of 6.4% for overall Medicaid claims in the city during that timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached roughly $871.7 billion in fiscal year 2023 and accounted for about 18% of all national health expenditures. This was a significant increase from $613.5 billion in 2019, before the COVID-19 pandemic.

The total represents an approximate 40% rise over several years, primarily resulting from greater enrollment and higher service use during and after the pandemic.

Recent federal budget measures signed into law during the Trump administration have put forward major changes to federal Medicaid financing and the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade and introduces requirements such as work rules and greater cost-sharing, which could lower funding and coverage for some groups. These adjustments may result in more costs being placed on states and limit federal Medicaid expansion, despite ongoing demand for the program nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $3,237,685 14.3%
2021 $2,346,621 -27.5%
2022 $2,849,037 21.4%
2023 $3,698,976 29.8%
2024 $3,899,364 5.4%
Top Categories by Medicaid Payments in Palm Desert, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $12,005,495 49.2%
2 Evaluation and Management $4,969,713 20.4%
3 Radiology Procedures $3,899,364 16%
4 Alcohol and Drug Abuse Treatment $878,279 3.6%
5 Procedures / Professional Services $812,139 3.3%
6 Orthotic Procedures and services $496,528 2%
7 Surgery $358,189 1.5%
8 Dental Services $317,948 1.3%
9 National Codes Established for State Medicaid Agencies $286,721 1.2%
10 Temporary National Codes (Non-Medicare) $192,155 0.8%
11 Ambulance and Other Transport Services and Supplies $91,719 0.4%
12 Vision Services $33,283 0.1%
13 Medical And Surgical Supplies $30,964 0.1%
14 Drugs Administered Other than Oral Method $4,131 <0.1%
15 Durable Medical Equipment $3,805 <0.1%
16 Pathology and Laboratory Procedures $3,617 <0.1%
17 Temporary Codes $2,725 <0.1%
18 Administrative, Miscellaneous and Investigational $0 <0.1%
18 Anesthesia $0 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Palm Desert, California, 2024

HCPCS Code Description Medicaid Payments Claims
77067 Scr mammo bi incl cad $712,074 75
72148 Mri lumbar spine w/o dye $257,256 22
77063 Breast tomosynthesis bi $235,309 48
70486 Ct maxillofacial w/o dye $207,864 21
73721 Mri jnt of lwr extre w/o dye $188,736 21
76642 Ultrasound breast limited $169,239 24
70553 Mri brain stem w/o & w/dye $165,107 12
77066 Dx mammo incl cad bi $155,219 22
72141 Mri neck spine w/o dye $125,256 20
70551 Mri brain stem w/o dye $115,308 11
76856 Us exam pelvic complete $104,649 40
76830 Transvaginal us non-ob $99,525 40
74178 Ct abd&plv wo cntr flwd cntr $93,900 14
73221 Mri joint upr extrem w/o dye $92,132 12
73630 X-ray exam of foot $78,745 59
77065 Dx mammo incl cad uni $74,178 19
76700 Us exam abdom complete $73,492 35
77062 Breast tomosynthesis bi $68,865 21
71046 X-ray exam chest 2 views $68,778 62
74176 Ct abd & pelvis w/o contrast $60,201 11

Note: HCPCS codes are provided to illustrate procedures within the category. Rankings and totals are based on standardized service groups.

Source information is drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original dataset here.



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