Physician
Downriver Heart and Vascular Specialists PC
Downriver Heart and Vascular Specialists PC was paid $1.67M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 17% of everything it billed.
33Billing provider infoDOWNRIVER HEART AND VASCULAR SPECIALISTS PC
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
33aNPI1194838383assigned 08/15/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$1.67M
24GClaims36,652
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Michigan
Rank by total paid#19 of 134
Median peer was paid$91K
This provider vs. median18×
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 | 4,193 | $205K | |
| 2019 | 4,911 | $215K | |
| 2020 | 4,347 | $169K | |
| 2021 | 5,977 | $231K | |
| 2022 | 6,055 | $274K | |
| 2023 | 6,335 | $317K | |
| 2024incomplete | 4,834 | $261K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 6,794 | 2,193 | $288K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,341 | 5,207 | $250K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 14% | 3,700 | 3,690 | $242K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 8.4% | 1,128 | 1,119 | $141K |
| 99223 | Prolong inpt eval add15 m | 7.9% | 1,245 | 1,207 | $132K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.7% | 1,237 | 1,203 | $95K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 4.8% | 580 | 576 | $80K |
| J2785 | Injection, regadenoson, 0.1 mg | 3.8% | 463 | 462 | $63K |
| 93000 | 3.3% | 6,303 | 6,180 | $55K | |
| 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 | 3.0% | 687 | 677 | $50K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 699 | 697 | $43K |
| 93458 | 2.3% | 288 | 287 | $38K |
27 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 1,245 | $35K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.9% | 1,377 | $32K |
| 93015 | 1.7% | 1,029 | $28K | |
| 93298 | 1.5% | 1,129 | $25K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | 1.0% | 1,088 | $17K |
| 99152 | <1% | 1,237 | $12K | |
| 99220 | <1% | 121 | $11K | |
| 93229 | <1% | 12 | $6K | |
| 99219 | <1% | 79 | $6K | |
| 92928 | <1% | 18 | $4K | |
| 93299 | <1% | 54 | $4K | |
| 93016 | <1% | 210 | $3K | |
| 93297 | <1% | 93 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 82 | $2K |
| 93271 | <1% | 16 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 93272 | <1% | 91 | $1K | |
| 93018 | <1% | 120 | $965.12 | |
| 93312 | <1% | 13 | $800.93 | |
| 93922 | <1% | 12 | $527.07 | |
| 93308 | <1% | 13 | $491.88 | |
| 93270 | <1% | 42 | $199.52 | |
| 93228 | <1% | 12 | $190.70 | |
| 93320 | <1% | 16 | $185.01 | |
| 99225 | <1% | 22 | $158.52 | |
| 99224 | <1% | 26 | $129.06 | |
| 93325 | <1% | 16 | $41.16 |
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 officialLOWE, SHAWNA (PRACTICE MANAGER)