Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Florence › NPI 1003105644
Physician

Cardiovascular Institute of the Shoals PC

Cardiovascular Institute of the Shoals PC was paid $393K by Medicaid between Jan 2018 and Sep 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoCARDIOVASCULAR INSTITUTE OF THE SHOALS PC
FLORENCE, AL 35630
33aNPI1003105644assigned 04/05/2011
28Total paid$393K
24GClaims15,203
24DCodes billed32
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Family Medicine Physician providers in Alabama

Rank by total paid#100 of 455
Median peer was paid$57K
This provider vs. median6.9×

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$5.0K$10K$15K2018201920202021202220232024
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
20184,398$84K
20193,987$88K
20203,488$79K
20211,524$72K
20221,170$50K
2023507$21K
2024incomplete129$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 50% 5,316 4,469 $195K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 5,593 4,698 $124K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.9% 280 260 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.8% 330 273 $15K
93970 3.5% 441 357 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.1% 498 434 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 839 668 $4K
99442 <1% 319 241 $4K
93971 <1% 208 111 $3K
93925 <1% 44 37 $2K
90674 <1% 85 71 $1K
93000 <1% 99 79 $721.04
20 more codes
80305 <1% 199 $513.03
90756 <1% 22 $458.70
36465 <1% 47 $409.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 99 $350.00
81002 <1% 163 $219.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 114 $152.28
99441 <1% 75 $126.79
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) <1% 16 $80.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 156 $74.33
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 15 $15.98
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 19 $7.14
82962 <1% 18 $6.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 23 $0.00
G0008 Administration of influenza virus vaccine 0% 14 $0.00
1036F 0% 22 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 22 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 62 $0.00
G9989 Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) 0% 13 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 29 $0.00
G8482 Influenza immunization administered or previously received 0% 23 $0.00

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.

From NPPES

Who's on the registration

Authorized officialNAIDU, AJIT (PRESIDENT)