Radiology Procedures category sees $2,329,759 in Medicaid payments in Pinehurst for 2024

Pinehurst Medicaid providers received $2,329,759 for services within the Radiology Procedures category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 35.2% rise over 2023, when providers billed $1,723,326 for these services.

Medicaid operates as a joint state and federal program funded by both levels of government. Its coverage extends to low-income families and individuals, seniors, children, and people with disabilities, establishing it as one of the largest entities in the U.S. health care landscape.

Since Medicaid is publicly funded through taxpayer dollars, fluctuations in local billing reflect how health care funds are distributed within a region.

The “Radiology Procedures” category encompasses Medicaid-covered services defined by care type, organized by consistent HCPCS and CPT code groupings. For this analysis, each billing code aligns with a single service category using set code prefixes and number ranges, allowing tracking of grouping trends while avoiding duplicate counts and ensuring ranking accuracy over time.

While Medicaid spending saw gains across multiple categories, Radiology Procedures stood as the fifth highest in Pinehurst by overall Medicaid payments in 2024.

At the statewide level, the Radiology Procedures category placed 11th in total Medicaid payments across North Carolina in 2024.

Across the five years leading to 2024, Medicaid spending for Radiology Procedures in Pinehurst rose by $1,271,576 or 120.2%. Notable growth periods included significant percentage increases in both 2023 and 2021.

Although Radiology Procedures payments extended across Pinehurst, the majority were focused in fewer ZIP codes. In 2024, ZIP code 28374 accounted for $2,329,758 in claims, making up 100% of Medicaid spending for this category in the city for that year.

Within Radiology Procedures, payments were concentrated among a small group of specific billing codes.

For context, Medicaid payments for Radiology Procedures in Pinehurst grew by 35.2% between 2024 and 2023, while payments for all Medicaid service categories in the city increased by 2% over that period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion for fiscal 2023, representing around 18% of national health spending. That is up significantly from about $613.5 billion in 2019 before the onset of the COVID-19 pandemic.

This marks an increase of roughly 40% in just several years, mainly due to higher enrollment and increased utilization during and after the pandemic.

Recent federal budget measures implemented under the Trump administration have introduced sizable proposals to limit federal Medicaid contributions and alter the program. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the upcoming decade and brings requirements such as work verification and greater cost-sharing, potentially decreasing coverage and funding for some enrollees. These developments are expected to pass more financial responsibility to states while slowing the increase of federal assistance, even as the program serves 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.