Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Oakland › NPI 1194746057
Physician

Berkeley Cardiovascular Medical Group

Berkeley Cardiovascular Medical Group was paid $190K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 79% of everything it billed.

33Billing provider infoBERKELEY CARDIOVASCULAR MEDICAL GROUP
OAKLAND, CA 94609
33aNPI1194746057assigned 07/23/2006
28Total paid$190K
24GClaims8,235
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in California

Rank by total paid#197 of 714
Median peer was paid$28K
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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,042$39K
20191,332$31K
2020752$18K
2021992$19K
20221,016$22K
20231,234$30K
2024incomplete867$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 79% 6,297 6,220 $151K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.6% 289 139 $14K
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 4.7% 593 577 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.0% 64 14 $6K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.1% 165 93 $4K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.7% 72 69 $3K
93308 <1% 135 133 $1K
93297 <1% 79 79 $708.87
93000 <1% 126 118 $441.73
93296 <1% 85 84 $396.29
93321 <1% 123 121 $351.77
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 28 27 $173.88
2 more codes
93325 <1% 162 $158.24
99213 Doctor's office visit, returning patient (routine) <1% 17 $107.77

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 officialEDELEN, JOHN (PRESIDENT)