Physician
Core Heart & Medical Center PLLC
Core Heart & Medical Center PLLC was paid $1.58M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 78452, Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress — 16% of everything it billed.
33Billing provider infoCORE HEART & MEDICAL CENTER PLLC
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1134419914assigned 04/13/2011
33bProvider typeCardiovascular Disease Physician
28Total paid$1.58M
24GClaims71,180
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Tennessee
Rank by total paid#5 of 136
Median peer was paid$21K
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
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 | 15,311 | $345K | |
| 2019 | 13,687 | $271K | |
| 2020 | 10,945 | $244K | |
| 2021 | 8,826 | $237K | |
| 2022 | 7,452 | $176K | |
| 2023 | 8,636 | $191K | |
| 2024incomplete | 6,323 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 16% | 2,625 | 2,199 | $246K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 14% | 3,359 | 2,840 | $216K |
| 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 | 13% | 10,862 | 9,306 | $210K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 9.7% | 1,685 | 1,310 | $152K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 9.1% | 2,757 | 2,311 | $144K |
| 93880 | 6.9% | 2,592 | 2,168 | $109K | |
| J2785 | Injection, regadenoson, 0.1 mg | 5.2% | 1,695 | 1,432 | $82K |
| 93000 | 4.9% | 14,251 | 11,812 | $77K | |
| 93224 | 4.5% | 1,763 | 1,657 | $71K | |
| 93015 | 4.4% | 2,883 | 2,414 | $69K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 3,421 | 2,800 | $64K |
| 93923 | 2.6% | 1,249 | 1,104 | $41K |
43 more codes
| 93970 | 1.9% | 639 | $30K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1.0% | 3,685 | $16K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 702 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,990 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 124 | $6K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 402 | $5K |
| 90686 | <1% | 990 | $4K | |
| 94010 | <1% | 539 | $4K | |
| 93244 | <1% | 452 | $3K | |
| 93242 | <1% | 453 | $2K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 709 | $1K |
| 90677 | <1% | 34 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,474 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 253 | $1K |
| 1158F | <1% | 1,143 | $950.00 | |
| 1157F | <1% | 1,143 | $950.00 | |
| 1159F | <1% | 1,140 | $900.00 | |
| 1160F | <1% | 1,142 | $880.00 | |
| 3008F | <1% | 1,078 | $830.00 | |
| 99406 | <1% | 296 | $717.29 | |
| 75635 | <1% | 66 | $626.38 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 784 | $505.37 |
| J3490 | Unclassified drugs | <1% | 275 | $381.56 |
| 70498 | <1% | 24 | $252.08 | |
| 70496 | <1% | 26 | $241.57 | |
| 3077F | <1% | 69 | $70.00 | |
| 3074F | <1% | 80 | $60.00 | |
| 3078F | <1% | 128 | $50.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $46.74 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 111 | $45.69 |
| G0008 | Administration of influenza virus vaccine | <1% | 630 | $39.69 |
| 3080F | <1% | 17 | $30.00 | |
| 82962 | <1% | 15 | $24.12 | |
| 80305 | <1% | 26 | $23.60 | |
| 3079F | <1% | 12 | $20.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 398 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 44 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 243 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 13 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 78 | $0.00 |
| G1007 | Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program | 0% | 93 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 108 | $0.00 |
| 1123F | 0% | 398 | $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 officialPATEL, KANDARP (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Gastroenterology Anesthesia Consultants LLC | Scottsdale, AZ | $306K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.