Caldwell’s Medicaid providers reported $196,963 in billed services for the Radiology Procedures category in 2024, based on figures released by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 28.2% increase from 2023, when claims for Radiology Procedures reached $153,685.
Medicaid, a public health insurance system administered by the states and funded by both federal and state governments, provides coverage to low-income individuals, families, seniors, children, and those with disabilities. The program stands as a significant component of the nation’s health care infrastructure.
Shifts in local Medicaid billing levels reflect how taxpayer-funded health care resources are distributed within individual communities.
The Radiology Procedures category groups Medicaid services by care type, as defined by standard HCPCS and CPT code groupings. For the purposes of this report, each billing code was matched to one service category using code prefixes and numeric ranges, allowing aggregation of similar services and avoiding both double counting and distortion of category rankings over time.
Among Caldwell’s various health care service categories, Radiology Procedures placed seventh in 2024 for total Medicaid payments.
Statewide in Idaho, Radiology Procedures was ranked as the 12th largest Medicaid service category by payments in 2024.
From 2019 to 2024, Medicaid spending in Caldwell related to Radiology Procedures grew by $102,741, equivalent to a 34.3% increase. Periodic surges in annual totals occurred, including notable spikes in 2020 and 2022.
Even though services were available throughout the city, Medicaid spending for Radiology Procedures was heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 83605 accounted for the entire $196,963 billed for this service category, comprising 100% of Caldwell’s total for the year.
Spending within the Radiology Procedures grouping was also focused among just a few individual billing codes.
To compare trends, Medicaid payments for Radiology Procedures in Caldwell rose by 28.2% between 2024 and 2023, whereas overall Medicaid claim payments in the city rose by 10.8% during the same timeframe.
Centers for Medicare & Medicaid Services data shows that nationwide, federal and state Medicaid spending totaled approximately $871.7 billion in fiscal year 2023, representing about 18% of the country’s total health expenditures, an increase from roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This rise amounts to about 40% growth since 2019, largely attributed to increased enrollment and health care utilization after pandemic-related expansions.
Recent federal budget laws signed during the Trump administration included major changes to Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid allocation by over $1 trillion in the coming decade and usher in measures like work requirements and higher cost-sharing, which could limit funding and eligibility for some recipients. These shifts are likely to transfer additional financial responsibility to state governments while capping the growth of federal Medicaid support, at a time when the program continues to assist tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $299,704 | 54.1% |
| 2021 | $168,522 | -43.8% |
| 2022 | $200,355 | 18.9% |
| 2023 | $153,685 | -23.3% |
| 2024 | $196,963 | 28.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,846,455 | 33.8% |
| 2 | Alcohol and Drug Abuse Treatment | $5,629,145 | 32.5% |
| 3 | Medicine Services and Procedures | $2,140,024 | 12.4% |
| 4 | National Codes Established for State Medicaid Agencies | $1,857,039 | 10.7% |
| 5 | Ambulance and Other Transport Services and Supplies | $933,216 | 5.4% |
| 6 | Dental Services | $299,476 | 1.7% |
| 7 | Radiology Procedures | $196,963 | 1.1% |
| 8 | Surgery | $96,462 | 0.6% |
| 9 | Temporary National Codes (Non-Medicare) | $79,268 | 0.5% |
| 10 | Procedures / Professional Services | $64,942 | 0.4% |
| 11 | Pathology and Laboratory Procedures | $58,203 | 0.3% |
| 12 | Medical And Surgical Supplies | $48,355 | 0.3% |
| 13 | Drugs Administered Other than Oral Method | $46,628 | 0.3% |
| 14 | Anesthesia | $1,763 | <0.1% |
| 15 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 76816 | Ob us follow-up per fetus | $117,390 | 48 |
| 76811 | Ob us detailed sngl fetus | $45,084 | 19 |
| 76819 | Fetal biophys profil w/o nst | $26,409 | 20 |
| 73630 | X-ray exam of foot | $5,986 | 15 |
| 77014 | $1,068 | 1 | |
| 76801 | Ob us < 14 wks single fetus | $682 | 1 |
| 73610 | X-ray exam of ankle | $336 | 1 |
| 71045 | X-ray exam chest 1 view | $5 | 2 |
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.
