Physician
Heart Care Associates P C
Heart Care Associates P C was paid $268K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 49% of everything it billed.
33Billing provider infoHEART CARE ASSOCIATES P C
HOPEWELL, VA 23860
HOPEWELL, VA 23860
33aNPI1255340766assigned 08/05/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$268K
24GClaims12,185
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Virginia
Rank by total paid#19 of 117
Median peer was paid$4K
This provider vs. median67×
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 | 1,760 | $19K | |
| 2019 | 2,567 | $31K | |
| 2020 | 2,823 | $37K | |
| 2021 | 1,742 | $44K | |
| 2022 | 989 | $36K | |
| 2023 | 1,300 | $55K | |
| 2024incomplete | 1,004 | $47K |
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 | 49% | 2,157 | 1,854 | $131K |
| 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 | 31% | 1,830 | 1,579 | $83K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.9% | 878 | 183 | $18K |
| 93000 | 6.6% | 2,485 | 2,131 | $18K | |
| 99223 | Prolong inpt eval add15 m | 3.6% | 157 | 122 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 211 | 166 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 27 | 13 | $2K |
| 99406 | <1% | 13 | 12 | $74.63 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | <1% | 757 | 622 | $0.01 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 435 | 362 | $0.01 |
| 1036F | <1% | 333 | 284 | $0.01 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 267 | 226 | $0.01 |
5 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 939 | $0.01 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 247 | $0.01 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 766 | $0.01 |
| 3008F | 0% | 448 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 235 | $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 officialDAVE, KAMLESH (OWNER)