Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mountain Heart Center, PSC

Mountain Heart Center, PSC was paid $1.74M by Medicaid between Jan 2018 and Jun 2024, across 31 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 21% of everything it billed.

33Billing provider infoMOUNTAIN HEART CENTER, PSC
WHITESBURG, KY 41858
33aNPI1104831775assigned 07/30/2006
28Total paid$1.74M
24GClaims23,587
24DCodes billed31
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Kentucky

Rank by total paid#1 of 47
Median peer was paid$23K
This provider vs. median74×

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$20K$40K$60K2018201920202021202220232024
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
20184,331$317K
20193,581$221K
20204,393$287K
20214,466$329K
20223,101$237K
20232,692$248K
2024incomplete1,023$97K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 21% 2,291 2,184 $366K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 9.3% 917 854 $162K
93880 9.2% 1,366 1,267 $159K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.0% 5,423 4,341 $122K
J2785 Injection, regadenoson, 0.1 mg 6.9% 869 782 $120K
93229 6.8% 271 256 $118K
93015 6.7% 1,860 1,700 $117K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 6.0% 917 858 $105K
93224 5.6% 981 910 $97K
93923 5.0% 1,342 1,280 $86K
93351 3.5% 343 332 $60K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.1% 1,130 987 $36K
19 more codes
93970 1.8% 235 $31K
99203 Doctor's office visit, new patient (routine) 1.7% 461 $29K
99204 Doctor's office visit, new patient (more involved) 1.6% 296 $27K
93000 1.5% 1,519 $26K
80061 Lipid panel 1.5% 2,424 $25K
93458 1.2% 103 $21K
99442 <1% 261 $11K
99214 Doctor's office visit, returning patient (more involved) <1% 101 $5K
93228 <1% 271 $5K
99223 Prolong inpt eval add15 m <1% 36 $3K
99443 <1% 15 $1K
93922 <1% 29 $838.28
93226 <1% 14 $710.19
99238 Hospital discharge day management, 30 minutes or less <1% 19 $641.28
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 32 $517.80
93225 <1% 19 $474.46
93227 <1% 14 $412.81
0298T <1% 14 $114.52
0296T <1% 14 $80.69

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 officialCHANDRASHEKAR, PADUBIDRI (PRESIDENT)