Physician
Ponderosa Heart House Call
Ponderosa Heart House Call was paid $399K by Medicaid between Feb 2021 and Nov 2024, across 14 billing codes. Its largest line is 99424, — 38% of everything it billed.
33Billing provider infoPONDEROSA HEART HOUSE CALL
GILBERT, AZ 85295
GILBERT, AZ 85295
33aNPI1073131561assigned 07/10/2020
33bProvider typeCardiovascular Disease Physician
28Total paid$399K
24GClaims15,978
24DCodes billed14
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Arizona
Rank by total paid#25 of 98
Median peer was paid$37K
This provider vs. median11×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 740 | $16K | |
| 2022 | 3,519 | $76K | |
| 2023 | 6,014 | $123K | |
| 2024incomplete | 5,705 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99424 | 38% | 7,885 | 7,812 | $153K | |
| 99350 | Prolong home eval add 15m | 23% | 3,015 | 2,945 | $94K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 12% | 1,025 | 1,005 | $49K |
| 93925 | 6.3% | 464 | 454 | $25K | |
| 99337 | 5.1% | 789 | 764 | $20K | |
| 93970 | 4.3% | 413 | 406 | $17K | |
| 99345 | Prolong home eval add 15m | 4.0% | 382 | 379 | $16K |
| 93880 | 2.9% | 233 | 228 | $11K | |
| 99328 | 1.3% | 121 | 120 | $5K | |
| 93000 | 1.2% | 1,272 | 1,236 | $5K | |
| G2064 | Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities | <1% | 323 | 322 | $3K |
| 99336 | <1% | 13 | 13 | $429.38 |
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 officialMILLER, STARLA (CHIEF OPERATIONS OFFICER)