Smithville sees 70.5% rise in Medicaid payments for radiology procedures in 2024

In 2024, Smithville Medicaid providers billed $179 for services in the Radiology Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending data. This represented a 70.5% jump from 2023, when providers billed $105 for similar services.

Medicaid is a public health insurance program managed at the state level, with funding shared by federal and state governments. It provides coverage to low-income Americans, including seniors, children, and individuals with disabilities, making it one of the nation’s largest health care programs.

Since Medicaid relies on taxpayer funding, changes in local billing levels reflect how public health resources are allocated within communities.

The “Radiology Procedures” designation groups Medicaid-billed services by the type of care, identified with consistent HCPCS and CPT coding. Each billing code was assigned to a single service class through code prefixes and ranges to analyze comparable services without double-counting and to maintain accurate rankings.

Multiple service categories saw Medicaid spending rise, with Radiology Procedures ranking ninth in Smithville for 2024 total Medicaid payments.

Across Tennessee, Radiology Procedures also ranked ninth by total Medicaid payments that same year.

From 2019 to 2024, Medicaid payments related to the Radiology Procedures category in Smithville increased by $65, or 26.5%. Certain years—including 2021 and 2023—saw especially marked growth.

Although radiology procedure spending occurred citywide, payments were concentrated within a handful of ZIP codes. In 2024, ZIP code 37166 accounted for the full $179 in Medicaid payments attributed to the category, representing 100% of Smithville’s total in that area for the year.

Payment levels in the Radiology Procedures category were also focused among a small group of individual billing codes.

Compared to a 70.5% increase for Radiology Procedures in Smithville from 2023 to 2024, the gain across all Medicaid claim categories in the city was 2.5% over the same period.

Centers for Medicare & Medicaid Services data show combined Medicaid spending at about $871.7 billion in fiscal year 2023, making up nearly 18% of overall U.S. health expenditures, a climb from $613.5 billion in 2019 before the pandemic.

This represents an approximate 40% rise over a few years, propelled largely by expanded program enrollment and increased utilization during and after the COVID-19 period.

Recent federal budget measures under the Trump administration have set out sizable reductions to federal Medicaid contributions and suggest restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to cut federal Medicaid expenditures by more than $1 trillion over the next decade, adding features such as work requirements and extra cost-sharing that could reduce both funding and coverage for some groups. Such changes are expected to shift greater financial responsibility to states and slow federal Medicaid growth, even as millions of Americans continue to rely on the program.

Note: HCPCS codes are included for context in the category. The article’s category totals and rankings are based on the grouping of services, not the individual billing codes.

Information in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.