Georgia Cardiology Associates PC
Georgia Cardiology Associates PC was paid $530K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoGEORGIA CARDIOLOGY ASSOCIATES PC
MACON, GA 31210
MACON, GA 31210
33aNPI1124077946assigned 05/09/2006
33bProvider typeSpecialist
28Total paid$530K
24GClaims37,589
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Georgia
Rank by total paid#13 of 52
Median peer was paid$46K
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 | |
|---|---|---|---|
| 2018 | 1,785 | $9K | |
| 2019 | 1,765 | $14K | |
| 2020 | 596 | $6K | |
| 2021 | 1,375 | $24K | |
| 2022 | 10,564 | $101K | |
| 2023 | 11,527 | $230K | |
| 2024incomplete | 9,977 | $146K |
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 | 32% | 6,904 | 4,680 | $168K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 28% | 2,749 | 1,925 | $150K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 6.9% | 1,041 | 628 | $37K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.4% | 705 | 603 | $29K |
| 93000 | 5.0% | 4,511 | 3,107 | $27K | |
| 93015 | 4.6% | 1,001 | 605 | $24K | |
| J2785 | Injection, regadenoson, 0.1 mg | 4.1% | 750 | 430 | $22K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 4.0% | 870 | 497 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 1,102 | 749 | $20K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 602 | 209 | $12K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 511 | 291 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 511 | 291 | $4K |
28 more codes
| 93880 | <1% | 110 | $4K | |
| 93925 | <1% | 160 | $4K | |
| 93268 | <1% | 19 | $2K | |
| 93970 | <1% | 51 | $1K | |
| 93923 | <1% | 24 | $514.26 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $306.12 |
| 99152 | <1% | 63 | $240.80 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 27 | $20.37 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,655 | $0.00 |
| 1111F | 0% | 688 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 563 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 244 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 87 | $0.00 |
| G8967 | Fda approved oral anticoagulant is prescribed | 0% | 24 | $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% | 87 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,507 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,094 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 279 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,993 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 456 | $0.00 |
| 1100F | 0% | 683 | $0.00 | |
| 3288F | 0% | 479 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 735 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 30 | $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% | 70 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 165 | $0.00 |
| 4004F | 0% | 13 | $0.00 | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 13 | $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 officialDANIEL, GARY (OWNER)