Medicaid payments for Radiology Procedures in Mission Viejo up 23.9% in 2024

In 2024, Medicaid providers in Mission Viejo billed $1,155,972 for services under the Radiology Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 23.9% increase from 2023, when claims for these services totaled $932,982.

Medicaid is a public health insurance initiative administered by the states and funded jointly by federal and state governments. Designed for low-income individuals and families, as well as seniors, children and people with disabilities, it is one of the largest components of the U.S. health care system.

Since Medicaid payments derive from taxpayers, shifts in local billing levels reveal how public health care resources are managed in a community.

The “Radiology Procedures” designation covers Medicaid services identified by the care provided, based on standard HCPCS and CPT groupings. For this report, individual billing codes were assigned to one service category using uniform code prefixes and number ranges, ensuring related services are grouped for analysis without double counting and allowing for consistent rankings.

Radiology Procedures accounted for the fifth highest total Medicaid payments among service categories in Mission Viejo in 2024, despite many categories seeing increased spending.

Statewide in California, Radiology Procedures ranked 10th in total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for Radiology Procedures in Mission Viejo climbed $738,386, or 176.8%. Specific periods, such as 2023 and 2021, saw pronounced year-over-year growth in spending.

Spending for Radiology Procedures services was allocated citywide but largely centered in a small number of ZIP codes. In 2024, ZIP code 92691 accounted for $1,155,972 in Medicaid payments, representing the entire total for Radiology Procedures services in Mission Viejo that year.

Payments within this category were concentrated among a select group of individual billing codes.

For reference, the 23.9% increase in Medicaid payments for Radiology Procedures in Mission Viejo from 2023 to 2024 surpassed the 5.6% change recorded across all Medicaid service categories in the city during that time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, representing approximately 18% of the nation’s health spending. This is a significant rise from $613.5 billion in 2019, before the COVID-19 pandemic.

This increase equates to about 40% growth over those years, largely due to higher enrollment and utilization amid and after the pandemic.

Federal budget legislation enacted under the Trump administration included major proposals to reduce Medicaid funding and revise the program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is slated to cut more than $1 trillion in federal Medicaid spending over the next decade, with provisions such as work requirements and increased cost-sharing that may impact coverage and funding for certain beneficiaries. These measures are expected to shift further costs to the states and limit the expansion of federal Medicaid support, even as tens of millions of Americans continue to rely on the program.

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.