Heart Matters PSC

Heart Matters PSC was paid $157K by Medicaid between Jan 2018 and Jul 2020, across 17 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 50% of everything it billed.

33Billing provider infoHEART MATTERS PSC
RICHMOND, KY 40475

33aNPI1134387228assigned 05/27/2008

33bProvider typeCardiovascular Disease Physician

28Total paid$157K

24GClaims5,600

24DCodes billed17

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Cardiovascular Disease Physician providers in Kentucky

Rank by total paid#13 of 47

Median peer was paid$23K

This provider vs. median6.7×

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	2,928	$75K
2019	2,169	$65K
2020	503	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	50%	1,043	894	$79K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	1,918	1,627	$44K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	4.4%	66	51	$7K
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	4.3%	91	80	$7K
93000		3.1%	388	337	$5K
0399T		2.6%	99	89	$4K
99152		1.5%	237	169	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.4%	227	84	$2K
99406		<1%	184	151	$1K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	<1%	16	13	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	103	51	$1K
J2785	Injection, regadenoson, 0.1 mg	<1%	16	13	$869.23

5 more codes

93015		<1%	18	$862.55
99214	Doctor's office visit, returning patient (more involved)	<1%	20	$732.41
99203	Doctor's office visit, new patient (routine)	<1%	15	$641.03
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	$184.61
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,144	$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 officialROWLAND, REGINA (OFFICE MANAGER)