Rahway Medicaid radiology spending rises 18.4% to $344,874 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Rahway billed a total of $344,874 for services within the Radiology Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was an 18.4% increase from 2023, when $291,207 in claims were filed for these services.

Medicaid, a public health insurance initiative managed by states and funded jointly by federal and state governments, provides coverage to low-income individuals and families, seniors, children, and people with disabilities. It remains a central component of the U.S. health care landscape.

Because taxpayer funding supports Medicaid, fluctuations in local billing help illustrate how public health care dollars are distributed throughout each community.

The “Radiology Procedures” category is defined by specific service groupings based on HCPCS and CPT codes. This analysis assigned each billing code to a single category using uniform code prefixes and numeric ranges to prevent double counting and maintain accurate rankings over time.

Radiology Procedures stood as the sixth largest Medicaid spending category in Rahway for 2024, though spending rose across several service categories.

Statewide in New Jersey, Radiology Procedures was ranked eighth by total Medicaid payment amount in 2024.

Over the five years leading up to 2024, Medicaid payments in Rahway’s Radiology Procedures category increased by $241,303, up 233%. There were notable spikes in annual spending in both 2023 and 2021.

Payments for radiology services were distributed across Rahway, but the majority were concentrated in a small number of ZIP codes. In 2024, ZIP code 07065 accounted for $344,873 in Medicaid spending for radiology, representing all payments in this category for the city.

Most Medicaid spending within Radiology Procedures was grouped among a small subset of billing codes.

Medicaid payments for Radiology Procedures in Rahway grew by 18.4% between 2024 and 2023, outpacing the city’s overall Medicaid claim category increase of 15.4% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, making up approximately 18% of all national health expenditures. This is a significant rise from about $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This approximately 40% increase over several years has been fueled largely by expanded enrollment and higher utilization during and after the pandemic.

Federal budget measures enacted under the Trump administration have resulted in major proposals to decrease federal Medicaid funding and change its structure. For example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid support by more than $1 trillion over the next decade and introduces policies—such as work requirements and higher cost-sharing—that could influence coverage and funding for some recipients. These policy shifts are anticipated to move more costs to individual states and may limit growth in federal Medicaid assistance as the program continues to cover tens of millions of Americans.

Medicaid Payments Tied to Radiology Procedures in Rahway, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $103,571 -65.6%
2021 $145,244 40.2%
2022 $113,889 -21.6%
2023 $291,206 155.7%
2024 $344,873 18.4%
Top Categories by Medicaid Payments in Rahway, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $3,855,765 47.1%
2 National Codes Established for State Medicaid Agencies $1,130,927 13.8%
3 Medicine Services and Procedures $1,035,239 12.7%
4 Pathology and Laboratory Procedures $797,068 9.7%
5 Procedures / Professional Services $735,573 9%
6 Radiology Procedures $344,873 4.2%
7 Alcohol and Drug Abuse Treatment $150,160 1.8%
8 Ambulance and Other Transport Services and Supplies $67,816 0.8%
9 Surgery $57,093 0.7%
10 Drugs Administered Other than Oral Method $4,439 0.1%
11 Medical And Surgical Supplies $876 <0.1%
12 Temporary Codes $810 <0.1%
13 Administrative, Miscellaneous and Investigational $653 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Rahway, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
74177 Ct abd & pelvis w/contrast $95,793 11
70450 Ct head/brain w/o dye $51,124 11
71045 X-ray exam chest 1 view $32,838 11
74176 Ct abd & pelvis w/o contrast $27,494 9
76856 Us exam pelvic complete $18,017 10
72125 Ct neck spine w/o dye $16,839 7
76830 Transvaginal us non-ob $15,036 11
77067 Scr mammo bi incl cad $7,806 9
78452 Ht muscle image spect mult $7,770 2
71275 Ct angiography chest $7,763 4
71046 X-ray exam chest 2 views $7,562 11
73130 X-ray exam of hand $6,890 11
76817 Transvaginal us obstetric $6,734 8
76705 Echo exam of abdomen $6,694 9
73630 X-ray exam of foot $5,828 10
76815 Ob us limited fetus(s) $5,265 6
73030 X-ray exam of shoulder $4,934 9
73610 X-ray exam of ankle $4,668 10
77063 Breast tomosynthesis bi $4,016 8
71260 Ct thorax dx c+ $3,693 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.



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