Physician
OIG excluded
Midwest Cardiovascular, INC.
Midwest Cardiovascular, INC. was paid $25K by Medicaid between Jan 2018 and Aug 2019, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoMIDWEST CARDIOVASCULAR, INC.
FESTUS, MO 63028
FESTUS, MO 63028
33aNPI1235382755assigned 10/28/2008
33bProvider typeCardiovascular Disease Physician
28Total paid$25K
24GClaims1,020
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Cardiovascular Disease Physician providers in Missouri
Rank by total paid#43 of 150
Median peer was paid$4K
This provider vs. median5.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (06/17/2021).
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 | 790 | $18K | |
| 2019 | 230 | $7K |
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 | 71% | 692 | 612 | $18K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 18% | 84 | 77 | $5K |
| 93299 | 7.6% | 28 | 27 | $2K | |
| 93015 | 1.7% | 17 | 15 | $445.14 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 14 | 12 | $265.40 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 26 | 25 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 17 | 16 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 53 | 51 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 21 | 19 | $0.00 |
| 1036F | 0% | 38 | 35 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 30 | 28 | $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 officialADEM, ANTOINE (PRESIDENT)