Physician
Pfautsch, Mark
Pfautsch, Mark was paid $32K by Medicaid between Jan 2018 and Nov 2023, across 16 billing codes. Its largest line is 70450, Computed tomography, head or brain; without contrast material — 31% of everything it billed.
33Billing provider infoPFAUTSCH, MARK
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1538175203assigned 08/01/2006
33bProvider typeDiagnostic Radiology Physician
28Total paid$32K
24GClaims3,898
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Diagnostic Radiology Physician providers in Missouri
Rank by total paid#95 of 372
Median peer was paid$6K
This provider vs. median5.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,717 | $15K | |
| 2019 | 1,316 | $11K | |
| 2020 | 471 | $2K | |
| 2021 | 93 | $1K | |
| 2022 | 230 | $2K | |
| 2023 | 71 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 70450 | Computed tomography, head or brain; without contrast material | 31% | 195 | 172 | $10K |
| 71046 | Radiologic examination, chest; 2 views | 27% | 1,427 | 1,373 | $9K |
| 71045 | Radiologic examination, chest; single view | 20% | 1,475 | 1,257 | $6K |
| 73610 | 6.8% | 248 | 213 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 3.1% | 51 | 51 | $1K |
| 74018 | 3.0% | 181 | 167 | $983.61 | |
| 76770 | 2.7% | 32 | 32 | $871.64 | |
| 73630 | 2.2% | 84 | 72 | $720.96 | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.0% | 13 | 13 | $642.92 |
| 73110 | 1.4% | 58 | 51 | $438.46 | |
| 73130 | <1% | 27 | 25 | $187.28 | |
| G9326 | Ct studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given | 0% | 22 | 17 | $0.00 |
4 more codes
| G9329 | Dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given | 0% | 22 | $0.00 |
| G9322 | Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given | 0% | 22 | $0.00 |
| G9319 | Imaging study not named according to standardized nomenclature, reason not given | 0% | 22 | $0.00 |
| G9638 | Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | 0% | 19 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.