Medicaid spending for radiology procedures jumps 37.9% in Loris in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers in Loris billed Medicaid $435,285 for Radiology Procedures services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 37.9% increase compared to the prior year, when claims for the same services totaled $315,678.

Medicaid, a publicly funded health insurance program, is administered by each state with joint federal and state funding. It insures low-income adults and families, seniors, children, and people with disabilities, making it a key element of the U.S. health care system.

Because Medicaid spending is taxpayer funded, changes in local claims reflect how public health resources are distributed in a community.

The “Radiology Procedures” service category includes a range of Medicaid-billed services, grouped by care type according to standard HCPCS and CPT coding. For this analysis, each billing code was assigned to one service group based on code prefixes and numeric intervals. This allows for an unduplicated look at related services and accurate category ranking over time.

Although several Medicaid service categories saw growth, Radiology Procedures ranked fourth by total payments in Loris for 2024.

Statewide in South Carolina, Radiology Procedures placed seventh in Medicaid payments by service category in 2024.

From 2019 to 2024, Medicaid payments for Radiology Procedures in Loris climbed by $246,701, or 130.8%. The rate of growth quickened at certain points, with significant annual increases in 2021 and 2022.

While Radiology Procedures spending occurred throughout Loris, the bulk of payments were concentrated in a few ZIP codes. In 2024, ZIP code 29569 alone accounted for $435,285 in Medicaid payments for this category, making up 100% of related spending in the city for the year.

Within the Radiology Procedures group, Medicaid spending was focused among a small number of specific billing codes.

Looking at the broader trend, Medicaid payments for Radiology Procedures in Loris rose 37.9% between 2024 and 2023. By comparison, all Medicaid claim categories in the city saw a 5.5% change during that period.

Data from the Centers for Medicare & Medicaid Services show combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up nearly 18% of all national health spending, and rising sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

The increase marks about 40% growth in several years, largely due to expanded program enrollment and more frequent usage during and after the pandemic.

Recent federal budget legislation enacted during the Trump administration has included major proposals to curtail federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, aims to reduce federal Medicaid outlays by more than $1 trillion over 10 years and implements measures like work requirements and higher cost-sharing, potentially reducing coverage or funding for certain groups. These changes are projected to shift additional costs onto states and limit growth in federal Medicaid support, even as the program continues to provide health coverage to millions.

Medicaid Payments Tied to Radiology Procedures in Loris, South Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $188,584 -20.4%
2021 $352,599 87%
2022 $444,227 26%
2023 $315,677 -28.9%
2024 $435,285 37.9%
Top Categories by Medicaid Payments in Loris, South Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $3,589,049 48.3%
2 Medicine Services and Procedures $1,275,662 17.2%
3 Pathology and Laboratory Procedures $771,942 10.4%
4 Radiology Procedures $435,285 5.9%
5 Surgery $427,814 5.8%
6 Temporary Codes $370,868 5%
7 Drugs Administered Other than Oral Method $265,765 3.6%
8 Administrative, Miscellaneous and Investigational $171,070 2.3%
9 National Codes Established for State Medicaid Agencies $128,370 1.7%
10 Dental Services $1,085 <0.1%
11 Procedures / Professional Services $572 <0.1%
12 Medical And Surgical Supplies $1 <0.1%
13 Outpatient PPS $0 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Loris, South Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
72148 Mri lumbar spine w/o dye $58,310 7
71045 X-ray exam chest 1 view $38,153 13
71250 Ct thorax dx c- $32,678 9
73130 X-ray exam of hand $30,061 11
74176 Ct abd & pelvis w/o contrast $29,158 11
73610 X-ray exam of ankle $25,308 11
70450 Ct head/brain w/o dye $21,482 11
71046 X-ray exam chest 2 views $20,989 12
73630 X-ray exam of foot $19,348 11
74018 Radex abdomen 1 view $19,223 11
73110 X-ray exam of wrist $15,486 10
73030 X-ray exam of shoulder $14,190 10
73564 X-ray exam knee 4 or more $13,588 10
76705 Echo exam of abdomen $12,605 11
73721 Mri jnt of lwr extre w/o dye $11,184 1
77063 Breast tomosynthesis bi $10,882 6
72125 Ct neck spine w/o dye $7,364 11
73140 X-ray exam of finger(s) $6,320 2
72141 Mri neck spine w/o dye $5,792 1
72100 X-ray exam l-s spine 2/3 vws $5,324 10

Note: HCPCS codes are included for category context. The article’s totals and rankings are based on standardized service categories rather than individual billing codes.

Data for this article was sourced 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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