Physician
Nanticoke Cardiology, P.A.
Nanticoke Cardiology, P.A. was paid $660K by Medicaid between Jan 2018 and Jan 2021, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoNANTICOKE CARDIOLOGY, P.A.
SEAFORD, DE 19973
SEAFORD, DE 19973
33aNPI1215007869assigned 11/09/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$660K
24GClaims47,941
24DCodes billed30
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Cardiovascular Disease Physician providers in Delaware
Rank by total paid#5 of 21
Median peer was paid$185K
This provider vs. median3.6×
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 | 16,518 | $94K | |
| 2019 | 17,415 | $196K | |
| 2020 | 12,882 | $338K | |
| 2021 | 1,126 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 6,237 | 5,074 | $188K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 19% | 3,707 | 3,129 | $125K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 4,611 | 3,799 | $91K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.6% | 3,069 | 876 | $50K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 6.1% | 14,915 | 10,812 | $40K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.9% | 1,121 | 865 | $39K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.6% | 398 | 348 | $24K |
| 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% | 291 | 261 | $17K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 2.2% | 284 | 259 | $14K |
| 93298 | 1.9% | 1,741 | 1,466 | $12K | |
| 93000 | 1.8% | 2,307 | 1,936 | $12K | |
| 93970 | 1.4% | 816 | 695 | $9K |
18 more codes
| 93971 | 1.2% | 1,184 | $8K | |
| 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 | 1.1% | 647 | $7K |
| 93299 | <1% | 1,087 | $4K | |
| 93793 | <1% | 1,084 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 340 | $3K |
| 93227 | <1% | 275 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 839 | $2K |
| 93224 | <1% | 44 | $2K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 43 | $2K |
| 93880 | <1% | 184 | $1K | |
| 93015 | <1% | 103 | $1K | |
| 99441 | <1% | 46 | $908.66 | |
| 85610 | <1% | 2,269 | $737.30 | |
| 93016 | <1% | 85 | $275.28 | |
| 93923 | <1% | 17 | $235.40 | |
| 93925 | <1% | 46 | $232.00 | |
| 93018 | <1% | 85 | $223.38 | |
| 93922 | <1% | 66 | $98.99 |
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 officialSIMONS, RICHARD (PRESIDENT)