Physician
Appalachian Vascular Institute, PLLC
Appalachian Vascular Institute, PLLC was paid $4.17M by Medicaid between Apr 2018 and Nov 2024, across 58 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 23% of everything it billed.
33Billing provider infoAPPALACHIAN VASCULAR INSTITUTE, PLLC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1235645607assigned 12/21/2017
33bProvider typeInterventional Cardiology Physician
28Total paid$4.17M
24GClaims105,181
24DCodes billed58
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in Kentucky
Rank by total paid#1 of 12
Median peer was paid$81K
This provider vs. median52×
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 | 15,479 | $271K | |
| 2019 | 14,222 | $453K | |
| 2020 | 19,709 | $690K | |
| 2021 | 15,663 | $610K | |
| 2022 | 15,097 | $683K | |
| 2023 | 14,326 | $796K | |
| 2024incomplete | 10,685 | $666K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 23% | 12,324 | 10,808 | $952K |
| 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 | 16% | 18,647 | 15,486 | $671K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 31,922 | 8,965 | $560K |
| 93229 | 8.5% | 930 | 874 | $352K | |
| 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 | 6.8% | 3,744 | 3,258 | $285K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.2% | 6,726 | 5,658 | $257K |
| 93970 | 5.7% | 2,300 | 1,998 | $239K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 9,669 | 6,630 | $174K |
| 93925 | 2.6% | 1,583 | 1,294 | $109K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 2.1% | 596 | 532 | $88K |
| 93015 | 2.1% | 1,335 | 1,218 | $86K | |
| 93351 | 1.4% | 805 | 622 | $57K |
46 more codes
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.1% | 324 | $45K |
| 97597 | <1% | 2,934 | $39K | |
| 93458 | <1% | 341 | $33K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 379 | $28K |
| 93000 | <1% | 1,696 | $26K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 892 | $22K |
| 93224 | <1% | 192 | $15K | |
| 93228 | <1% | 922 | $14K | |
| 93280 | <1% | 627 | $13K | |
| 93923 | <1% | 369 | $12K | |
| 93880 | <1% | 129 | $11K | |
| 36247 | <1% | 100 | $10K | |
| 99490 | Ccm add 20min | <1% | 1,650 | $9K |
| 99223 | Prolong inpt eval add15 m | <1% | 126 | $8K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 137 | $8K |
| 75625 | <1% | 47 | $6K | |
| 99219 | <1% | 130 | $5K | |
| 36200 | <1% | 85 | $4K | |
| 75716 | <1% | 31 | $4K | |
| 99152 | <1% | 227 | $3K | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 75 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 213 | $2K |
| 95806 | <1% | 18 | $2K | |
| 93248 | <1% | 150 | $2K | |
| 93299 | <1% | 175 | $2K | |
| 93297 | <1% | 216 | $2K | |
| 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% | 238 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 37 | $1K |
| 93244 | <1% | 70 | $1K | |
| 93246 | <1% | 150 | $963.07 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 139 | $887.31 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 196 | $827.06 |
| 99225 | <1% | 21 | $727.04 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 25 | $712.97 |
| 93971 | <1% | 17 | $709.43 | |
| 93242 | <1% | 70 | $632.80 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 149 | $624.82 |
| 76937 | <1% | 50 | $318.97 | |
| 93308 | <1% | 13 | $281.49 | |
| 93285 | <1% | 12 | $243.96 | |
| J1250 | Injection, dobutamine hydrochloride, per 250 mg | <1% | 218 | $204.88 |
| 0298T | <1% | 249 | $196.23 | |
| 0296T | <1% | 249 | $163.12 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 260 | $144.49 |
| J1245 | Injection, dipyridamole, per 10 mg | <1% | 84 | $140.10 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 168 | $33.29 |
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 officialWELLS, THERESA (OFFICE MANAGER)