Physician
Swartz, Theodore
Swartz, Theodore was paid $387K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 70450, Computed tomography, head or brain; without contrast material — 43% of everything it billed.
33Billing provider infoSWARTZ, THEODORE
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1588670178assigned 08/01/2006
33bProvider typeDiagnostic Radiology Physician
28Total paid$387K
24GClaims12,994
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Diagnostic Radiology Physician providers in Missouri
Rank by total paid#21 of 372
Median peer was paid$6K
This provider vs. median66×
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 | 3,644 | $76K | |
| 2019 | 2,223 | $74K | |
| 2020 | 1,680 | $53K | |
| 2021 | 1,740 | $59K | |
| 2022 | 1,602 | $56K | |
| 2023 | 1,442 | $53K | |
| 2024incomplete | 663 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 70450 | Computed tomography, head or brain; without contrast material | 43% | 2,787 | 2,614 | $167K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 22% | 1,896 | 1,797 | $85K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 18% | 1,845 | 1,753 | $71K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 5.8% | 248 | 237 | $22K |
| 72125 | Computed tomography, cervical spine; without contrast material | 5.7% | 770 | 696 | $22K |
| 71045 | Radiologic examination, chest; single view | 3.0% | 2,945 | 2,664 | $12K |
| 71046 | Radiologic examination, chest; 2 views | 1.6% | 1,077 | 1,004 | $6K |
| 71250 | <1% | 27 | 27 | $678.97 | |
| 73630 | <1% | 50 | 36 | $503.55 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 18 | 18 | $321.86 |
| 73610 | <1% | 14 | 14 | $127.89 | |
| 74018 | <1% | 14 | 12 | $95.63 |
7 more codes
| 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% | 225 | $0.00 |
| G9557 | Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found | 0% | 40 | $0.00 |
| 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% | 225 | $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% | 226 | $0.00 |
| G9319 | Imaging study not named according to standardized nomenclature, reason not given | 0% | 228 | $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% | 264 | $0.00 |
| G9551 | Final reports for imaging studies without an incidentally found lesion noted | 0% | 95 | $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.