Herndon sees 12.9% rise in Medicaid payments for radiology procedures in 2024

In 2024, Medicaid providers in Herndon claimed $304,274 for services classified as Radiology Procedures, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 12.9% rise from 2023, when providers billed $269,389 for the same service category.

Medicaid, a public health insurance initiative administered by the states and financed through a partnership between federal and state governments, supports low-income individuals and families, children, seniors, and people with disabilities. It is one of the largest program components in the U.S. health care system.

Since Medicaid payments are sourced from taxpayers, fluctuations in local billing levels reflect how public health care funding is distributed within a community.

The “Radiology Procedures” classification encompasses a group of Medicaid-billed services determined by the nature of care provided, aligned with standardized HCPCS and CPT code ranges. For this report, each billing code was exclusively assigned to a service category by code prefix and numeric grouping, providing a consistent means to evaluate related services over time while avoiding duplication and ensuring accurate rankings.

While overall Medicaid spending grew across several categories, Radiology Procedures ranked fourth by total Medicaid payments in Herndon for 2024.

Statewide, Radiology Procedures was seventh in Virginia for total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments for Radiology Procedures in Herndon increased by $304,274, holding steady at a 0% change over five years. However, there were periods of faster growth during the timeframe, notably with significant annual increases in both 2021 and 2023.

Spending for Radiology Procedures was noted across Herndon but was mainly concentrated within a small number of ZIP codes. In 2024, ZIP code 20170 accounted for $304,273 in Medicaid payments, representing 100% of all category-related payments in Herndon that year.

Medicaid billing within Radiology Procedures was focused among a small set of individual codes.

For context, Medicaid payments for Radiology Procedures in Herndon increased 12.9% between 2024 and 2023, while overall Medicaid claim categories in the city saw a 13.7% change over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health care spending, a substantial increase from the 2019 figure of about $613.5 billion before the COVID-19 public health emergency.

This jump reflects a roughly 40% rise in a short span, largely driven by higher enrollment and usage during and after the pandemic period.

Recent federal budget measures under the Trump administration have proposed significant federal Medicaid funding reductions and program changes. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, aims to cut more than $1 trillion from federal Medicaid spending over 10 years and introduces policies such as work requirements and greater cost-sharing, potentially reducing coverage and financing for some recipients. These adjustments are expected to shift increased costs to states and restrict the growth of federal Medicaid aid, even as the program continues to serve millions of Americans.

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.