Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Plains › NPI 1043351281
Physician

Northeastern Pennsylvania Cardiology Associates LLP

Northeastern Pennsylvania Cardiology Associates LLP was paid $37K by Medicaid between Jul 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoNORTHEASTERN PENNSYLVANIA CARDIOLOGY ASSOCIATES LLP
PLAINS, PA 18705
33aNPI1043351281assigned 02/09/2007
28Total paid$37K
24GClaims2,186
24DCodes billed11
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Pennsylvania

Rank by total paid#81 of 592
Median peer was paid$3K
This provider vs. median12×

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
2018112$167.71
2019140$210.54
202034$362.97
2021445$10K
2022414$8K
2023621$11K
2024incomplete420$7K
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 38% 476 466 $14K
93000 37% 1,312 1,291 $14K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15% 57 56 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.7% 103 102 $2K
93298 1.8% 38 37 $664.60
99223 Prolong inpt eval add15 m 1.7% 13 12 $626.52
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 1.6% 24 24 $602.15
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 102 101 $0.00
1036F 0% 37 37 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 12 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 12 12 $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 officialELLIS, JOHN (PHYSICIAN ADMINISTRATOR)
Same official

Other billing entities under ELLIS, JOHN

Full network →
ProviderLocationPaid
Greater Baltimore Medical Center, INC.Baltimore, MD$9.39M
Farmington Oral & Facial Surgery P aFarmington, ME$1.22M
Alliance Urgent Care, INCHemet, CA$1.05M
Greater Baltimore Medical Center, INC.Baltimore, MD$792K
DR John P Ellis Clinic Podiatry LLCFairview Park, OH$241K
Blair and Ellis P.A.El Paso, TX$52K
Ekg Associates of Wyoming Valley LLPWilkes Barre, PA$17K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.