Physician
Orange County Heart Institute and Research Center a Medical Group
Orange County Heart Institute and Research Center a Medical Group was paid $278K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 67% of everything it billed.
33Billing provider infoORANGE COUNTY HEART INSTITUTE AND RESEARCH CENTER A MEDICAL GROUP
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1265463608assigned 07/05/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$278K
24GClaims15,114
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in California
Rank by total paid#172 of 714
Median peer was paid$28K
This provider vs. median9.8×
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 | 3,109 | $37K | |
| 2019 | 1,191 | $27K | |
| 2020 | 1,999 | $27K | |
| 2021 | 2,631 | $38K | |
| 2022 | 2,474 | $46K | |
| 2023 | 2,410 | $54K | |
| 2024incomplete | 1,300 | $49K |
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 | 67% | 4,308 | 4,243 | $186K |
| 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 | 6.4% | 2,954 | 2,857 | $18K |
| 93000 | 6.2% | 3,011 | 2,895 | $17K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.1% | 638 | 200 | $11K |
| 99223 | Prolong inpt eval add15 m | 3.5% | 396 | 388 | $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 | 3.0% | 2,054 | 2,029 | $8K |
| 93351 | 2.8% | 116 | 115 | $8K | |
| 93325 | 2.2% | 375 | 369 | $6K | |
| 93320 | 1.4% | 191 | 189 | $4K | |
| 93294 | <1% | 300 | 300 | $2K | |
| 93015 | <1% | 103 | 102 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 119 | 111 | $1K |
14 more codes
| 93280 | <1% | 97 | $935.34 | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 79 | $895.84 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 79 | $829.66 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $620.10 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 12 | $348.24 |
| 99152 | <1% | 46 | $330.84 | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 51 | $245.47 |
| 99454 | <1% | 12 | $172.56 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 62 | $151.20 |
| 99457 | <1% | 24 | $138.06 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 14 | $81.36 |
| 36000 | <1% | 14 | $32.84 | |
| 93793 | <1% | 21 | $31.59 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 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 officialSANTORA, LAWRENCE (SENIOR PARTNER)