Providers participating in Medicaid across Friendswood billed a total of $4,189,403 for radiology procedures in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total represents an 11.4% rise from 2023, when $3,761,407 in such claims were filed.
Medicaid, funded by both the federal government and states, is a public insurance program supporting low-income families, older adults, children, and people with disabilities. Because of its broad eligibility, it comprises a critical segment of the health care landscape in the United States.
Because taxpayers largely fund the Medicaid program, shifts in local spending reflect how a community’s collective public health care resources are allocated.
The Radiology Procedures category covers services identified by care type, with standardized HCPCS and CPT code groupings assigning each code to a unique service category. This approach groups related procedures while avoiding duplicate counts, supporting consistent ranking and analysis over time.
Radiology Procedures registered the highest Medicaid payment total among service categories in Friendswood for 2024.
Statewide, Radiology Procedures claimed the 10th spot in total Medicaid payments in Texas in 2024.
Between 2019 and 2024, Friendswood’s Medicaid payments for Radiology Procedures increased by a cumulative $3,194,147—or 320.9%. Notable periods of accelerated spending occurred, particularly in 2020 and 2021.
While radiology-related spending was observed throughout Friendswood, payments predominated in a handful of ZIP codes. For 2024, ZIP code 77546 alone saw the entire $4,189,403 in Medicaid claims from this category, accounting for all citywide Medicaid payments for radiology procedures that year.
A limited number of billing codes dominated Medicaid payments within Radiology Procedures services.
Comparing growth rates, Medicaid spending on Radiology Procedures in Friendswood climbed by 11.4% from 2023 to 2024, while payments increased by 5.4% across all Medicaid claim categories in the city during the same period.
The Centers for Medicare & Medicaid Services report combined state and federal Medicaid spending at around $871.7 billion for fiscal year 2023. This accounts for nearly 18% of all U.S. health expenditures, a substantial rise from about $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This increase—about 40% over several years—largely stems from increased enrollment and care utilization linked to the pandemic and its aftermath.
Federal budget measures finalized under the Trump administration introduced new policies to curtail federal Medicaid funding and alter how the program functions. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut federal Medicaid spending by over $1 trillion over 10 years through reforms such as work requirements and greater cost-sharing—changes that could decrease federal and individual coverage and increase financial pressures on states while Medicaid serves millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $995,256 | 5101162.8% |
| 2021 | $3,424,732 | 244.1% |
| 2022 | $3,540,061 | 3.4% |
| 2023 | $3,761,407 | 6.3% |
| 2024 | $4,189,403 | 11.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Radiology Procedures | $4,189,403 | 35.5% |
| 2 | Temporary National Codes (Non-Medicare) | $4,075,149 | 34.5% |
| 3 | Alcohol and Drug Abuse Treatment | $1,880,003 | 15.9% |
| 4 | Evaluation and Management | $1,208,163 | 10.2% |
| 5 | Dental Services | $260,136 | 2.2% |
| 6 | Medicine Services and Procedures | $133,380 | 1.1% |
| 7 | Vision Services | $24,010 | 0.2% |
| 8 | National Codes Established for State Medicaid Agencies | $21,892 | 0.2% |
| 9 | Pathology and Laboratory Procedures | $8,944 | 0.1% |
| 10 | Ambulance and Other Transport Services and Supplies | $945 | <0.1% |
| 11 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 76819 | Fetal biophys profil w/o nst | $790,206 | 36 |
| 76816 | Ob us follow-up per fetus | $762,392 | 36 |
| 76821 | Middle cerebral artery echo | $743,123 | 36 |
| 76820 | Umbilical artery echo | $454,725 | 36 |
| 76811 | Ob us detailed sngl fetus | $377,403 | 36 |
| 76825 | Echo exam of fetal heart | $328,056 | 36 |
| 76817 | Transvaginal us obstetric | $233,527 | 36 |
| 76805 | Ob us >/= 14 wks sngl fetus | $205,201 | 36 |
| 76815 | Ob us limited fetus(s) | $133,861 | 24 |
| 76827 | Echo exam of fetal heart | $86,855 | 36 |
| 76826 | Echo exam of fetal heart | $26,134 | 12 |
| 76801 | Ob us < 14 wks single fetus | $20,667 | 13 |
| 76813 | Ob us nuchal meas 1 gest | $17,989 | 13 |
| 76828 | Echo exam of fetal heart | $8,085 | 12 |
| 76818 | Fetal biophys profile w/nst | $1,174 | 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.






