Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SWARTZ, THEODORE

NPI: 1588670178 · CAPE GIRARDEAU, MO 63703 · Diagnostic Radiology Physician · NPI assigned 08/01/2006

$387K
Total Medicaid Paid
12,994
Total Claims
11,680
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 663 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
70450 Computed tomography, head or brain; without contrast material 2,787 2,614 $167K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,896 1,797 $85K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,845 1,753 $71K
71275 Computed tomographic angiography, chest, with contrast material 248 237 $22K
72125 Computed tomography, cervical spine; without contrast material 770 696 $22K
71045 Radiologic examination, chest; single view 2,945 2,664 $12K
71046 Radiologic examination, chest; 2 views 1,077 1,004 $6K
71250 27 27 $678.97
73630 50 36 $503.55
76705 Ultrasound, abdominal, real time with image documentation; limited 18 18 $321.86
73610 14 14 $127.89
74018 14 12 $95.63
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 225 137 $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 40 26 $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 225 137 $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 226 137 $0.00
G9319 Imaging study not named according to standardized nomenclature, reason not given 228 137 $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) 264 173 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 95 61 $0.00