DAVID THEODORO, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · BRIDGETON, MO

Individual Active NPI 1073518577

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	146	340	$405,654	$143,198	$112,930
2023	109	192	$256,978	$94,217	$74,383
2022	106	231	$374,271	$130,441	$103,767

HCPCS	Description	Services	Avg allowed	Avg paid
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	$114	$81
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	$148	$108
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	56	$15	$12
33533	Coronary artery bypass using artery graft, 1 graft	34	$1,556	$1,240
33508	Harvest of vein using an endoscope	29	$14	$11
33518	Coronary artery bypass using vein or artery graft, 2 grafts	19	$350	$279
33405	Replacement of aortic valve on heart-lung machine	16	$1,792	$1,435

Specialty	Code	Primary	License	State
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	✓	28104	MS
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X		118293	MO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X		036095641	IL

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.