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    OpenPayerNPI Medicare & MedicaidMichael Theobald
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    Michael Theobald — Billing Profile & Reimbursement Data

    NPI 1952393464 · Fort Myers, FL · Diagnostic Radiology Physician

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    Michael Theobald is a diagnostic radiology physician provider located in Fort Myers, Florida. This profile covers 46 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Theobald
    Address14551 Hope Center Loop Ste 100
    CityFort Myers
    StateFL
    ZIP33912
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedAugust 19, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$431.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…350$230$79.3K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…450$140$62.5K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.310$130$41K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.280$150$40.4K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.260$90$24.3K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.220$70$15.3K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…110$130$14.1K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…340$40$13.9K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.120$120$13.9K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…330$40$12.2K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067754960170$90$36.4K
    933061,8472,220190$100$25.2K
    77063721910170$40$17.3K
    741771,3741,480100$100$14.4K
    705531776040$150$12.5K
    72148831,09050$110$11.4K
    7372151866040$120$10.6K
    741761,3231,51080$80$8.6K
    704506211,380190$30$8.6K
    712501,0601,51080$60$8.3K

    Showing 1–10 of 46

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Michael Theobald, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    Ronald GoodwichFLNuclear Medicine Physician$5.7M$0
    Paul MakhloufFLNuclear Medicine Physician$4.2M$0
    Pareena BilkooFLInterventional Cardiology Physician$2.9M$0
    Yamil Fourzali SabbagFLNuclear Medicine Physician$2.4M$0
    Medina KushenFLNuclear Medicine Physician$2.3M$0
    Joy Pollard-stoiberAZFamily Nurse Practitioner$2.2M$0
    Shawn CarterFLNuclear Medicine Physician$2.2M$0
    Lisa CampbellTXFamily Nurse Practitioner$1.9M$0
    Josiah MagnussonFLNuclear Medicine Physician$1.8M$0

    Nearby Providers

    Other providers in the same ZIP code as Michael Theobald, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neogenomics Laboratories IncFLClinical Medical Laboratory$20.9M$2.3M
    Vip America Of Southwest Florida, LLCFLAttendant Care Provider$0$11.4M
    Lee Memorial Health SystemFLGeneral Acute Care Hospital$0$11.1M
    Island Coast PediatricsFLPediatrics Physician$0$9.9M
    Paul RaskauskasFLRetina Specialist (Ophthalmology) Physician$5.2M$0
    St Marks Surgical Center LLCFLAmbulatory Surgical Clinic/Center$3.3M$0
    Avtar GhumanFLRetina Specialist (Ophthalmology) Physician$3.3M$0
    Nisha WarrierFLOphthalmology Physician$2.2M$0
    Katrina MearsFLRetina Specialist (Ophthalmology) Physician$2M$0
    Paramount Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$1.9M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Michael Theobald — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida