Heart Center of Somerset PLLC

Heart Center of Somerset PLLC was paid $118K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoHEART CENTER OF SOMERSET PLLC
SOMERSET, KY 42503

33aNPI1073592572assigned 01/12/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$118K

24GClaims4,792

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#110 of 424

Median peer was paid$19K

This provider vs. median6.3×

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
2018	1,063	$5K
2019	297	$2K
2020	13	$18.26
2021	43	$109.73
2022	1,411	$39K
2023	1,169	$40K
2024incomplete	796	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	42%	1,425	1,265	$49K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	33%	833	761	$39K
93000		8.7%	1,005	911	$10K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	5.7%	64	55	$7K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	4.5%	63	54	$5K
93015		2.8%	68	59	$3K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.1%	706	635	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.6%	526	491	$2K
99223	Prolong inpt eval add15 m	<1%	15	12	$433.51
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	28	12	$180.21
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	59	59	$45.63

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 officialIQBAL, IBRAIZ (PHYSICIAN)