Fostoria Medicaid radiology procedures spending climbs to $451,986 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Fostoria submitted claims totaling $451,986 for services falling under the Radiology Procedures category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 6.4% rise from 2023, when claims in this category amounted to $424,742.

Medicaid is a government insurance program managed by individual states and financed through a federal-state funding partnership. The program serves low-income people and families, seniors, children, and individuals with disabilities, making it a major component of America’s health care landscape.

Because Medicaid is publicly funded, fluctuations in local billing levels offer insight into how health care resources are allocated in specific areas.

The “Radiology Procedures” category represents a set of Medicaid-paid services organized by type of care, classified via designated HCPCS and CPT code groupings. This analysis mapped each billing code to a single service category according to standardized code prefixes and ranges, maintaining the accuracy of ranking and avoiding any duplication.

Radiology Procedures was the third-largest service category by Medicaid payment totals in Fostoria for 2024, although spending rose in several other categories as well.

This category was the sixth-highest in statewide Medicaid payments across Ohio in 2024.

Across the five-year period ending in 2024, Fostoria’s Medicaid payments for Radiology Procedures increased by $451,986, equating to 0% growth. Noteworthy annual increases occurred in both 2023 and 2022.

While Radiology Procedures spending in Fostoria occurred citywide, it was especially concentrated in particular ZIP codes. In 2024, the 44830 ZIP code accounted for $451,986 in Medicaid payments for this category. This represented 100% of such payments in Fostoria for the year, grouped within one top ZIP code.

A small range of individual billing codes accounted for most of the Medicaid payments in the Radiology Procedures category.

Medicaid payments linked to Radiology Procedures in Fostoria grew by 6.4% between 2024 and 2023, while overall Medicaid claim categories citywide experienced a 7.6% change during the same period.

Data from the Centers for Medicare & Medicaid Services show combined federal and state Medicaid expenditures were about $871.7 billion in FY 2023, representing approximately 18% of the nation’s health outlays. This was a significant rise from the roughly $613.5 billion recorded in 2019 ahead of the COVID-19 pandemic.

This change marks an increase of about 40% in just a few years, primarily due to broader Medicaid enrollment and greater service use during and after the pandemic.

Under the Trump administration, recent federal budget measures have aimed to significantly reduce Medicaid federal funding and redesign the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to slash federal Medicaid funds by over $1 trillion over 10 years. It also implements changes such as work requirements and increased cost-sharing that could lessen coverage and funding for some recipients. These revisions are projected to pass greater costs to states and place more limits on the growth of federal Medicaid support, even as tens of millions continue to rely on these benefits.

Medicaid Payments Tied to Radiology Procedures in Fostoria, Ohio Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $0
2021 $221
2022 $109 -50.6%
2023 $424,742 388005.3%
2024 $451,986 6.4%
Top Categories by Medicaid Payments in Fostoria, Ohio, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $1,327,236 44.4%
2 Evaluation and Management $1,017,991 34%
3 Radiology Procedures $451,986 15.1%
4 Pathology and Laboratory Procedures $113,892 3.8%
5 Ambulance and Other Transport Services and Supplies $45,646 1.5%
6 Procedures / Professional Services $25,950 0.9%
7 Surgery $7,284 0.2%
8 Drugs Administered Other than Oral Method $108 <0.1%
9 Temporary Codes $13 <0.1%
10 Administrative, Miscellaneous and Investigational $0 <0.1%
Top 20 HCPCS Codes Within the Radiology Procedures Category in Fostoria, Ohio, 2024

HCPCS Code Description Medicaid Payments Claims
74177 Ct abd & pelvis w/contrast $173,519 11
70450 Ct head/brain w/o dye $135,885 11
74176 Ct abd & pelvis w/o contrast $76,281 9
71046 X-ray exam chest 2 views $13,918 12
71275 Ct angiography chest $13,696 2
76856 Us exam pelvic complete $5,599 2
73562 X-ray exam of knee 3 $5,437 11
77063 Breast tomosynthesis bi $5,062 7
77067 Scr mammo bi incl cad $3,289 7
76830 Transvaginal us non-ob $2,594 2
73630 X-ray exam of foot $2,544 7
73130 X-ray exam of hand $2,248 10
71045 X-ray exam chest 1 view $2,041 12
73610 X-ray exam of ankle $2,005 9
73030 X-ray exam of shoulder $1,905 5
72100 X-ray exam l-s spine 2/3 vws $1,899 4
74018 Radex abdomen 1 view $1,368 3
76705 Echo exam of abdomen $1,262 1
72125 Ct neck spine w/o dye $875 2
73502 X-ray exam hip uni 2-3 views $275 2

Note: HCPCS codes are displayed for context. Rankings and totals presented here are calculated using aggregated service groupings, not individual codes.

The details in this report originate from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.



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