Medicaid spending on diagnostic radiology services surges 51.8% in Wilsonville for 2024

In 2024, Medicaid providers in Wilsonville billed $112,501 for services classified under Diagnostic Radiology Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 51.8% rise over 2023, when $74,097 was claimed for the same services.

Medicaid, a public health insurance initiative managed by states and funded by both federal and state governments, serves low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest health coverage sources nationwide.

Since Medicaid payments are taxpayer funded, fluctuations in local billing illustrate how public health care resources are distributed within communities.

The “Diagnostic Radiology Services” category encompasses a range of Medicaid-billed services, grouped by service type based on standard HCPCS and CPT code series. For this report, each billing code was matched to a specific service group using consistent code prefixes and number ranges, ensuring related services were analyzed together while avoiding duplicate counts and maintaining reliable rankings over time.

While Medicaid spending saw increases across several service categories, Diagnostic Radiology Services ranked third by total Medicaid payments in Wilsonville for 2024.

Statewide in Oregon, Diagnostic Radiology Services ranked 23rd by total Medicaid payments in 2024.

During the five years before 2024, Medicaid payments tied to Diagnostic Radiology Services in Wilsonville increased by $112,501, with 0% overall growth during the period. Spending gains picked up in certain years, most notably with significant annual increases in 2022 and 2023.

Medicaid spending on Diagnostic Radiology Services occurred citywide, yet a small number of ZIP codes accounted for most payments. In 2024, ZIP code 97070 accounted for $112,501. Collectively, the top 1 ZIP code made up 100% of all Medicaid payments in this category for Wilsonville that year.

Payments in the Diagnostic Radiology Services category were focused among a small subset of individual billing codes.

For reference, Medicaid payments linked to Diagnostic Radiology Services in Wilsonville grew by 51.8% from 2023 to 2024, while all Medicaid claim categories across the city saw a 12.3% change for the same timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached approximately $871.7 billion for fiscal 2023, accounting for about 18% of total national health spending. This rose sharply from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

The increase represents about a 40% jump in just a few years, driven mainly by expanded enrollment and higher service use during and after the pandemic.

Recent federal budget laws from the Trump administration have included major proposals to cut federal Medicaid funding and change program structure. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next 10 years and institutes policies such as work requirements and higher cost-sharing, potentially reducing coverage and funding for some. These changes are anticipated to shift more costs to states and may restrict the growth of federal Medicaid support, even as the program continues to cover tens of millions nationwide.

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.