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Dr. Daniel D. Picus, MD

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Specializes in: Interventional Radiology/Diagnostic Radiology (IR/DR) and Diagnostic Radiology

Professional interests include: angiogram (angiography), angioplasty, gastrostomy (G-tube insertion), and more.

510 South Kingshighway Boulevard Suite: 6th Floor
Saint Louis, MO 63110

(314) 362-2900

Dr. Daniel D. Picus, MD is a radiologist in Saint Louis, MO specializing in interventional radiology/diagnostic radiology (ir/dr) and diagnostic radiology. Dr. Daniel D. Picus, MD is affiliated with WashU Medicine, St. Louis Children's Hospital, Barnes-Jewish West County Hospital and Barnes-Jewish Hospital.

Office Locations

Barnes-Jewish Hospital

4921 Parkview Place Floor: 3, Suite: F
Saint Louis, MO 63110

(314) 362-6681

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Barnes-Jewish Hospital

510 South Kingshighway Boulevard Suite: 6th Floor
Saint Louis, MO 63110

(314) 362-2900

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Some issues Dr. Daniel D. Picus, MD can help you with:

Angiogram (Angiography)

Angiography is the use of x-rays to examine blood vessels, especially in order to identify any blocked or misshapen vessels that may cause problems. The test itself is called an angiogram. Some of the disorders that angiograms can be used to diagnose include:

Blockages and narrowing
Weakened walls and bulging, called an aneurysm
Malformations and misshapen blood vessels
Kidney artery conditions
Aorta artery conditions
Vein problems, including deep vein thrombosis (DVT) and blood clots or embolisms

During an angiogram, the doctor inserts a very thin, flexible tube called a catheter into a blood vessel through an opening in the groin or arm. The catheter is threaded through the body to the site of the suspected problem, where a small amount of dye is injected into the bloodstream and x-rays are taken. The dye makes the surrounding blood vessels visible via x-ray.

If necessary, certain procedures can be performed after an angiogram while the catheter is in place. Angioplasty is the use of a catheter to widen narrowed or blocked arteries. Stents are like tiny coiled springs that hold blood vessels open, and they can be placed during a catheterization. Damaged heart valves can also be repaired or replaced.

A typical angiogram takes about an hour to perform, but it may be longer if the catheterization is used to perform procedures on the blood vessels. It may be uncomfortable at times but is usually not painful. Afterwards, patients may be monitored for up to six hours to make sure any bleeding from the insertion site has stopped. They are given fluids to help flush the dye from their body. For a day or two after an angiogram it is important for patients to drink plenty of fluids and keep strenuous activity to a minimum.

Angioplasty

Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.

Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:

Peripheral arterial disease, which reduces blood flow in the arms or legs
Atherosclerosis, or general hardening of the arteries
Carotid artery stenosis, or narrowing of the arteries in the neck that supply the brain
Coronary artery disease, or narrowing of the arteries near the heart
Renal vascular hypertension, or narrowing of the arteries in the kidney, leading to increased blood pressure

During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.

There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.

Noteworthy Medicare Patient Procedures Performed by Dr. Daniel D. Picus, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

central line placement

tunneled central line removal

By Affordability:

centrally inserted non-tunneled central line placement

In 2023, among providers in related specialties within Missouri, Dr. Daniel D. Picus, MD performed more central line placement, and tunneled central line removal procedures for Medicare patients than 95% of them and he also had a list price for centrally inserted non-tunneled central line placement that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Affordability:

image-guided drainage

In 2012, Dr. Daniel D. Picus, MD had a list price for image-guided drainage that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Missouri. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2012 were catheterization, minimally invasive procedures, vascular procedures and device removal.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

abscess drainage	18
anastomosis	12
catheterization	260
device removal	59
gastrointestinal procedures	30
image guided procedures	36
minimally invasive procedures	99
urologic procedures	19
vascular procedures	91

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2013 were catheterization, vascular procedures, minimally invasive procedures and device removal.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

anastomosis	20
catheterization	213
device removal	45
gastrointestinal procedures	20
minimally invasive procedures	62
urologic procedures	19
vascular procedures	66

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	255
Female	200

**Ethnicity**
Non-Hispanic White	345
Black	95
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	194
From 75 to 84	81
85 and over	18
Less than 65	162

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2013

Hypertension	75
High Cholesterol	56
Stroke	11
Ischemic Heart Disease	56
Depression	40
Chronic Kidney Disease	61
Asthma	13
Osteoperosis	7
Atrial Fibrilation	16
Heart Failure	38
Chronic Obstructive Pulmonary Disease	31
Diabetes	44
Dementia	13
Cancer	23

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2014 were catheterization, device removal, gastrointestinal procedures and urologic procedures.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

anastomosis	17
catheterization	180
device removal	55
gastrointestinal procedures	29
minimally invasive procedures	17
urologic procedures	23
vascular procedures	15

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	227
Female	229

**Ethnicity**
Non-Hispanic White	339
Black	97
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	183
From 75 to 84	89
85 and over	25
Less than 65	159

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2014

Hypertension	75
High Cholesterol	56
Stroke	5
Ischemic Heart Disease	50
Depression	38
Chronic Kidney Disease	61
Asthma	9
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	34
Chronic Obstructive Pulmonary Disease	27
Diabetes	42
Dementia	11
Cancer	21

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2015 were catheterization, vascular procedures, minimally invasive procedures and device removal.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

anastomosis	16
catheterization	190
device removal	48
gastrointestinal procedures	29
minimally invasive procedures	60
vascular procedures	83

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	400
Female	442

**Ethnicity**
Non-Hispanic White	582
Black	220
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	344
From 75 to 84	166
85 and over	42
Less than 65	290

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2015

Hypertension	75
High Cholesterol	57
Stroke	12
Ischemic Heart Disease	51
Depression	38
Chronic Kidney Disease	66
Asthma	18
Osteoperosis	9
Atrial Fibrilation	16
Heart Failure	38
Chronic Obstructive Pulmonary Disease	28
Diabetes	43
Dementia	12
Cancer	23

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2016 were catheterization, vascular procedures, minimally invasive procedures and device removal.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

anastomosis	11
aspiration	13
catheterization	202
device removal	59
gastrointestinal procedures	26
image guided procedures	12
minimally invasive procedures	59
vascular procedures	68

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	242
Female	228

**Ethnicity**
Non-Hispanic White	350
Black	105
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	209
From 75 to 84	88
85 and over	19
Less than 65	154

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2016

Hypertension	75
High Cholesterol	56
Stroke	7
Ischemic Heart Disease	52
Depression	39
Chronic Kidney Disease	68
Asthma	31
Osteoperosis	9
Atrial Fibrilation	17
Heart Failure	40
Chronic Obstructive Pulmonary Disease	29
Diabetes	43
Dementia	16
Cancer	23

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2017 were catheterization, vascular procedures, minimally invasive procedures and device removal.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

anastomosis	16
catheterization	236
device removal	58
gastrointestinal procedures	16
image guided procedures	18
minimally invasive procedures	70
vascular procedures	75

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	240
Female	273

**Ethnicity**
Non-Hispanic White	383
Black	108
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	213
From 75 to 84	103
85 and over	25
Less than 65	172

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2017

Hypertension	75
High Cholesterol	54
Stroke	11
Ischemic Heart Disease	51
Depression	42
Chronic Kidney Disease	69
Asthma	13
Osteoperosis	10
Atrial Fibrilation	16
Heart Failure	41
Chronic Obstructive Pulmonary Disease	24
Diabetes	43
Dementia	16
Cancer	23

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2018 were catheterization, device removal, minimally invasive procedures and hospital care.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

anastomosis	11
catheterization	153
device removal	48
doctor visit	27
gastrointestinal procedures	11
hospital care	19
image guided procedures	12
inpatient care	19
minimally invasive procedures	23

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	242
Female	223

**Ethnicity**
Non-Hispanic White	333
Black	109
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	188
From 75 to 84	103
85 and over	13
Less than 65	161

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2018

Hypertension	75
High Cholesterol	59
Stroke	10
Ischemic Heart Disease	52
Depression	34
Chronic Kidney Disease	74
Asthma	7
Osteoperosis	8
Atrial Fibrilation	17
Heart Failure	41
Chronic Obstructive Pulmonary Disease	25
Diabetes	46
Dementia	14
Cancer	22

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2019 were catheterization, vascular procedures, minimally invasive procedures and hospital care.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

catheterization	147
device removal	14
doctor visit	17
hospital care	19
inpatient care	19
minimally invasive procedures	32
vascular procedures	72

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	214
Female	189

**Ethnicity**
Non-Hispanic White	308
Black	78
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	157
From 75 to 84	90
85 and over	25
Less than 65	131

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2019

Hypertension	75
High Cholesterol	62
Stroke	11
Ischemic Heart Disease	53
Depression	38
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	11
Atrial Fibrilation	21
Heart Failure	40
Chronic Obstructive Pulmonary Disease	29
Diabetes	45
Dementia	16
Cancer	24

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2020 were catheterization, device removal, anastomosis and minimally invasive procedures.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

anastomosis	13
catheterization	136
device removal	32
doctor visit	11
gastrointestinal procedures	13
minimally invasive procedures	13

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	190
Female	170

**Ethnicity**
Non-Hispanic White	257
Black	80
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	144
From 75 to 84	80
85 and over	18
Less than 65	118

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2020

Hypertension	75
High Cholesterol	61
Stroke	8
Ischemic Heart Disease	52
Depression	38
Chronic Kidney Disease	74
Asthma	11
Osteoperosis	8
Atrial Fibrilation	18
Heart Failure	38
Chronic Obstructive Pulmonary Disease	27
Diabetes	45
Dementia	17
Cancer	21

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2021 were catheterization, device removal, hospital care and inpatient care.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

catheterization	96
device removal	30
doctor visit	12
hospital care	20
inpatient care	20
vascular procedures	13

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	177
Female	153

**Ethnicity**
Non-Hispanic White	261
Black	55
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	129
From 75 to 84	81
85 and over	18
Less than 65	102

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2021

Hypertension	75
High Cholesterol	68
Stroke	9
Ischemic Heart Disease	50
Depression	36
Chronic Kidney Disease	69
Asthma	12
Osteoperosis	10
Atrial Fibrilation	19
Heart Failure	41
Chronic Obstructive Pulmonary Disease	21
Diabetes	42
Dementia	19
Cancer	25

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO during 2022 were catheterization, vascular procedures, minimally invasive procedures and device removal.

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

catheterization	103
device removal	17
doctor visit	20
gastrointestinal procedures	16
hospital care	17
inpatient care	17
minimally invasive procedures	40
vascular procedures	72

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	166
Female	167

**Ethnicity**
Non-Hispanic White	263
Black	57
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	136
From 75 to 84	78
85 and over	17
Less than 65	102

Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD in 2022

Hypertension	75
High Cholesterol	72
Stroke	12
Ischemic Heart Disease	35
Depression	34
Chronic Kidney Disease	49
Asthma	14
Osteoperosis	14
Atrial Fibrilation	25
Heart Failure	31
Chronic Obstructive Pulmonary Disease	25
Diabetes	38
Dementia	9
Cancer	33

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Daniel D. Picus, MD for Medicare patients.

The highest averages for the top procedures that Dr. Daniel D. Picus, MD treated as a radiologist in Saint Louis, MO were catheterization, vascular procedures, minimally invasive procedures and device removal.

abscess drainage	18
anastomosis	14
aspiration	13
catheterization	174
device removal	42
doctor visit	17
gastrointestinal procedures	21
hospital care	18
image guided procedures	19
inpatient care	18
minimally invasive procedures	47
urologic procedures	20
vascular procedures	61

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Daniel D. Picus, MD.

**Gender**
Male	213
Female	206

**Ethnicity**
Black / African American	91
Asian / Pacific Islander	0
Non-Hispanic White	311
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	87
85 and over	20
Less than 65	141
65 to 74	172

Average of Total of Conditions of Medicare patients treated by Dr. Daniel D. Picus, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Daniel D. Picus, MD treated were hypertension, chronic kidney disease, high cholesterol and ischemic heart disease.

Hypertension	68
High Cholesterol	54
Stroke	8
Ischemic Heart Disease	45
Depression	34
Chronic Kidney Disease	60
Asthma	12
Osteoporosis	8
Heart Failure	34
Chronic Obstructive Pulmonary Disease	24
Diabetes	39
Atrial Fibrillation	16
Dementia	13
Cancer	21

Education & Training

He completed residency at Mallinckrodt Institute of Radiology. He is certified by the Diagnostic Radiology Vascular and Interventional Radiology and has a state license in Missouri.

Residency: Mallinckrodt Institute of Radiology (1985)

Board Certification: Diagnostic Radiology Vascular and Interventional Radiology

Licensed In: Missouri

Affiliations & Hospitals

Dr. Daniel D. Picus, MD is associated with these hospitals and organizations:

WashU Medicine

St. Louis Children's Hospital

Barnes-Jewish West County Hospital

Barnes-Jewish Hospital

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General Payments

These charts describe general payments received by Dr. Daniel D. Picus, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Medtronic, Inc.	$178 CONCERTOTM $178
Siemens Medical Solutions USA, Inc.	$150 Artis Q $150
Z-Medica, LLC	$31 Control+ $31
Cardiovascular Systems Inc.	$14 Diamondback Peripheral $14
Vascular Solutions, Inc.	$12 Cardiovascular Products $12
Other	$12 $12

**Types of Payments**
Food and Beverage	$367
Consulting Fee	$31

Biography

Dr. Daniel Picus specializes in pediatric radiology, interventional radiology/diagnostic radiology (IR/DR), and diagnostic radiology and practices in Saint Louis, MO. His areas of expertise include gastrostomy (G-tube insertion), angioplasty, and arteriovenous malformation (AVM). He is professionally affiliated with Barnes-Jewish West County Hospital, Progress West Hospital, and St. Louis Children's Hospital. Dr. Picus appears to be in-network for Anthem, Blue California, Coventry, and more. BJC HealthCare reports that he is accepting new patients at his office in Saint Louis, MO. He attended the University of Chicago, Pritzker School of Medicine and subsequently trained at Mallinckrodt Institute of Radiology for residency.