Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Cape Girardeau › NPI 1881851871
Physician

Pelton, William

Pelton, William was paid $26K by Medicaid between Jan 2018 and Aug 2019, across 15 billing codes. Its largest line is 70450, Computed tomography, head or brain; without contrast material — 36% of everything it billed.

33Billing provider infoPELTON, WILLIAM
CAPE GIRARDEAU, MO 63703
33aNPI1881851871assigned 05/19/2008
28Total paid$26K
24GClaims2,255
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Diagnostic Radiology Physician providers in Missouri

Rank by total paid#108 of 372
Median peer was paid$6K
This provider vs. median4.4×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
20181,686$19K
2019569$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
70450 Computed tomography, head or brain; without contrast material 36% 197 180 $9K
71046 Radiologic examination, chest; 2 views 17% 666 625 $4K
71045 Radiologic examination, chest; single view 14% 659 597 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 5.1% 31 28 $1K
73110 4.7% 88 81 $1K
74018 4.4% 210 191 $1K
73130 4.3% 104 98 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3.2% 43 42 $823.96
73610 2.9% 92 88 $745.44
73562 1.8% 61 55 $467.02
72125 Computed tomography, cervical spine; without contrast material 1.8% 13 13 $466.95
76705 Ultrasound, abdominal, real time with image documentation; limited 1.8% 25 24 $449.33
3 more codes
74176 Computed tomography, abdomen and pelvis; without contrast material 1.6% 13 $404.32
73630 1.2% 40 $318.13
73140 <1% 13 $47.62

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.