Physician
Cardiac Institute of Central California a Medical Corporation
Cardiac Institute of Central California a Medical Corporation was paid $491K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 24% of everything it billed.
33Billing provider infoCARDIAC INSTITUTE OF CENTRAL CALIFORNIA A MEDICAL CORPORATION
FRESNO, CA 93720
FRESNO, CA 93720
33aNPI1255341814assigned 08/08/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$491K
24GClaims111,053
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in California
Rank by total paid#123 of 714
Median peer was paid$28K
This provider vs. median17×
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 | 12,101 | $75K | |
| 2019 | 13,469 | $44K | |
| 2020 | 15,284 | $37K | |
| 2021 | 13,294 | $50K | |
| 2022 | 18,594 | $64K | |
| 2023 | 21,419 | $100K | |
| 2024incomplete | 16,892 | $120K |
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 | 24% | 14,039 | 13,982 | $118K |
| 93229 | 12% | 3,379 | 3,371 | $61K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 11% | 6,386 | 6,332 | $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 | 9.6% | 16,647 | 16,111 | $47K |
| J2785 | Injection, regadenoson, 0.1 mg | 9.2% | 5,429 | 5,385 | $45K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 5.9% | 6,535 | 6,479 | $29K |
| 93015 | 5.0% | 7,735 | 7,635 | $25K | |
| 93000 | 4.5% | 20,164 | 19,928 | $22K | |
| 93224 | 4.2% | 5,558 | 5,543 | $20K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 3,637 | 3,598 | $17K |
| 93880 | 2.7% | 3,045 | 3,032 | $13K | |
| 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 | 1.8% | 1,702 | 1,699 | $9K |
21 more codes
| 99243 | 1.5% | 2,586 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.4% | 6,212 | $7K |
| 93228 | 1.2% | 3,383 | $6K | |
| 93351 | <1% | 516 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 543 | $3K |
| 93325 | <1% | 509 | $1K | |
| 93320 | <1% | 495 | $810.96 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 993 | $287.87 |
| 93296 | <1% | 190 | $193.48 | |
| 93295 | <1% | 123 | $131.57 | |
| 93297 | <1% | 400 | $87.55 | |
| 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% | 159 | $75.62 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | $36.20 |
| 93294 | <1% | 31 | $35.53 | |
| 99457 | 0% | 145 | $0.00 | |
| G2064 | Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities | 0% | 113 | $0.00 |
| 93280 | 0% | 12 | $0.00 | |
| J0280 | Injection, aminophyllin, up to 250 mg | 0% | 116 | $0.00 |
| 99424 | 0% | 133 | $0.00 | |
| 99454 | 0% | 75 | $0.00 | |
| 93283 | 0% | 12 | $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 officialBORNO, SAM (OWNER/PRESIDENT)