Medicaid diagnostic radiology payments in Metuchen climb 6.4% in 2024

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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In 2024, Metuchen Medicaid providers billed $3,311 for services in the Diagnostic Radiology Services category, according to records in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure marked a 6.4% uptick from $3,112 in claims seen in 2023 under the same service group.

Medicaid is a state-administered health insurance initiative receiving joint federal and state funding. Providing coverage for low-income families and individuals, seniors, children, and people with disabilities, the program is a major component of the U.S. health system.

Because tax dollars fund Medicaid payments, shifts in local billing highlight how communal health care funding is distributed.

The Diagnostic Radiology Services category includes a selection of billable Medicaid services grouped according to care type and standardized HCPCS and CPT code criteria. This assessment categorized each code into a specific service group based on common prefixes and number groupings, keeping related services together, ensuring no double counting, and maintaining ranking accuracy year over year.

While Medicaid spending rose in different service categories, Diagnostic Radiology Services placed 10th for total payments in Metuchen during 2024.

For New Jersey as a whole, Diagnostic Radiology Services stood 27th in statewide Medicaid payment rankings for 2024.

Reviewing five years before 2024, Medicaid payments for Diagnostic Radiology Services in Metuchen grew by $3,311, representing 0% overall growth. There were periods of higher year-on-year spending increases, notably during 2023 and 2022.

Spending for Diagnostic Radiology Services was spread across Metuchen, but the majority came from a limited set of ZIP codes. For 2024, ZIP code 08840 contributed $3,310. Altogether, the highest-payment ZIP code made up 100% of Medicaid payments connected with Diagnostic Radiology Services throughout Metuchen for that period.

Within the category, Medicaid funding focused primarily on a limited number of specific billing codes.

To provide context, Diagnostic Radiology Services Medicaid payments in Metuchen grew by 6.4% from 2023 to 2024, while total Medicaid claims for all service types citywide changed by 10.3% in that span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached approximately $871.7 billion for fiscal 2023, representing nearly 18% of overall U.S. health spending. That’s sharply higher than the $613.5 billion reported in 2019, ahead of COVID-19’s onset.

This reflects about a 40% increase within a few years, attributed largely to expanded program enrollment and greater utilization tied to the pandemic period and its aftermath.

Recent federal spending measures associated with the Trump administration have featured broad proposals for federal Medicaid funding reductions and restructuring. In particular, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid expenditures by over $1 trillion over a decade, imposing changes such as work requirements and increased cost-sharing—measures expected to reduce both funding and coverage for segments of beneficiaries. These adjustments are set to place more financing responsibility on states and slow the growth of federal support, though Medicaid continues to serve tens of millions nationwide.

Medicaid Payments Tied to Diagnostic Radiology Services in Metuchen, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2022 $156
2023 $3,111 1894.7%
2024 $3,310 6.4%
Top Categories by Medicaid Payments in Metuchen, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $10,348,249 80.3%
2 Evaluation and Management $1,703,224 13.2%
3 Temporary National Codes (Non-Medicare) $471,799 3.7%
4 Medicine Services and Procedures $234,880 1.8%
5 Surgery $43,107 0.3%
6 Pathology and Laboratory Procedures $27,215 0.2%
7 Anesthesia $20,507 0.2%
8 Radiology Procedures $17,422 0.1%
9 Administrative, Miscellaneous and Investigational $7,912 0.1%
10 Diagnostic Radiology Services $3,310 <0.1%
11 Drugs Administered Other than Oral Method $1,833 <0.1%
12 Temporary Codes $1,003 <0.1%
13 Procedures / Professional Services $19 <0.1%
14 Dental Services $0 <0.1%
Top 20 HCPCS Codes Within the Diagnostic Radiology Services Category in Metuchen, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
R0070 Transport portable x-ray $3,310 10

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.



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