Medicaid Provider Spending

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

CAROLINA HEART PHYSICIANS PLLC

NPI: 1154305704 · FAYETTEVILLE, NC 28303 · Cardiovascular Disease Physician · NPI assigned 12/06/2005

$178K
Total Medicaid Paid
17,933
Total Claims
13,407
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAYNE, MARTHA (OFFICE MANAGER)
NPI Enumeration Date12/06/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,100 $24K
2019 1,033 $21K
2020 1,035 $18K
2021 1,737 $18K
2022 2,726 $29K
2023 4,266 $30K
2024 6,036 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,559 1,661 $71K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 950 669 $42K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,886 1,355 $37K
93000 4,368 3,140 $23K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 25 $3K
99406 173 123 $869.79
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 17 12 $843.81
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 591 361 $755.03
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,605 1,304 $0.97
3074F 550 439 $0.10
1159F 142 109 $0.09
1160F 248 197 $0.09
3078F 588 491 $0.06
3079F 130 106 $0.05
3077F 130 112 $0.02
1036F 1,206 975 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 265 242 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 112 97 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 292 258 $0.00
3008F 271 220 $0.00
3075F 30 30 $0.00
4004F 65 48 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 218 187 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,231 1,002 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 44 41 $0.00
1124F 234 203 $0.00