Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CORE HEART & MEDICAL CENTER PLLC

NPI: 1134419914 · JACKSON, TN 38305 · Cardiovascular Disease Physician · NPI assigned 04/13/2011

$1.58M
Total Medicaid Paid
71,180
Total Claims
59,740
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, KANDARP (OWNER)
NPI Enumeration Date04/13/2011

Related Entities

Other providers sharing the same authorized official: PATEL, KANDARP

ProviderCityStateTotal Paid
GASTROENTEROLOGY ANESTHESIA CONSULTANTS LLC SCOTTSDALE AZ $306K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,311 $345K
2019 13,687 $271K
2020 10,945 $244K
2021 8,826 $237K
2022 7,452 $176K
2023 8,636 $191K
2024 6,323 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,625 2,199 $246K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,359 2,840 $216K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,862 9,306 $210K
71275 Computed tomographic angiography, chest, with contrast material 1,685 1,310 $152K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,757 2,311 $144K
93880 2,592 2,168 $109K
J2785 Injection, regadenoson, 0.1 mg 1,695 1,432 $82K
93000 14,251 11,812 $77K
93224 1,763 1,657 $71K
93015 2,883 2,414 $69K
99215 Prolong outpt/office vis 3,421 2,800 $64K
93923 1,249 1,104 $41K
93970 639 557 $30K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,685 2,979 $16K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 702 540 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,990 1,105 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 124 102 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 402 358 $5K
90686 990 842 $4K
94010 539 479 $4K
93244 452 377 $3K
93242 453 378 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 709 602 $1K
90677 34 28 $1K
36415 Collection of venous blood by venipuncture 1,474 1,264 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 253 199 $1K
1158F 1,143 1,021 $950.00
1157F 1,143 1,021 $950.00
1159F 1,140 1,018 $900.00
1160F 1,142 1,021 $880.00
3008F 1,078 965 $830.00
99406 296 253 $717.29
75635 66 57 $626.38
J0696 Injection, ceftriaxone sodium, per 250 mg 784 676 $505.37
J3490 Unclassified drugs 275 214 $381.56
70498 24 24 $252.08
70496 26 25 $241.57
3077F 69 59 $70.00
3074F 80 72 $60.00
3078F 128 116 $50.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $46.74
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 111 92 $45.69
G0008 Administration of influenza virus vaccine 630 569 $39.69
3080F 17 12 $30.00
82962 15 13 $24.12
80305 26 15 $23.60
3079F 12 12 $20.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 398 382 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 44 42 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 243 232 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 13 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 78 73 $0.00
G1007 Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program 93 85 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 108 102 $0.00
1123F 398 382 $0.00