Community Cardiology

Community Cardiology was paid $71K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoCOMMUNITY CARDIOLOGY
PETERSBURG, VA 23805

33aNPI1083133144assigned 09/11/2017

33bProvider typeCardiovascular Disease Physician

28Total paid$71K

24GClaims11,396

24DCodes billed32

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Virginia

Rank by total paid#33 of 117

Median peer was paid$4K

This provider vs. median18×

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	865	$5K
2019	1,800	$11K
2020	814	$12K
2021	1,504	$12K
2022	1,131	$7K
2023	2,370	$14K
2024incomplete	2,912	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	784	645	$24K
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	20%	334	291	$14K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	18%	347	285	$13K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	18%	635	230	$13K
99223	Prolong inpt eval add15 m	6.0%	102	82	$4K
4086F		1.7%	945	872	$1K
1036F		1.2%	991	877	$875.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	453	401	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	54	45	$0.00
4040F		0%	645	531	$0.00
M1178	Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine)	0%	300	268	$0.00
M1175	Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine)	0%	334	299	$0.00

20 more codes

G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,419	$0.00
M1168	Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period	0%	15	$0.00
G9989	Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine)	0%	106	$0.00
G8482	Influenza immunization administered or previously received	0%	201	$0.00
M1176	Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period	0%	86	$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%	75	$0.00
M1170	Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period	0%	29	$0.00
G9665	Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy	0%	64	$0.00
G0030	Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user	0%	12	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	952	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	907	$0.00
G8968	Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)	0%	642	$0.00
M1172	Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine)	0%	336	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	128	$0.00
M1169	Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)	0%	241	$0.00
G8969	Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)	0%	103	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	12	$0.00
M1173	Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period	0%	91	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	41	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	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 officialAGYEMAN, KWABENA (OWNER)