Cardiology Consultants, LLC

Cardiology Consultants, LLC was paid $28K by Medicaid between Jan 2018 and Mar 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoCARDIOLOGY CONSULTANTS, LLC
PROVIDENCE, RI 02904

33aNPI1114357530assigned 11/21/2013

33bProvider typeCardiovascular Disease Physician

28Total paid$28K

24GClaims557

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Cardiovascular Disease Physician providers in Rhode Island

Rank by total paid#25 of 65

Median peer was paid$19K

This provider vs. median1.4×

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	419	$19K
2019	126	$8K
2020	12	$1K

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	43%	235	177	$12K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	25%	37	33	$7K
93000		16%	261	195	$5K
99205	Prolong outpt/office vis	15%	24	12	$4K

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 officialGAGNON, PATRICIA (OFFICE MANAGER)