Jefferson Cardiology Assocation

Jefferson Cardiology Assocation was paid $15K by Medicaid between Oct 2020 and Aug 2022, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 65% of everything it billed.

33Billing provider infoJEFFERSON CARDIOLOGY ASSOCATION
JEFFERSON HILLS, PA 15025

33aNPI1275587222assigned 05/22/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$15K

24GClaims1,746

24DCodes billed4

24AFirst – last monthOct 2020 – Aug 2022

Compared with peers

Next to other Cardiovascular Disease Physician providers in Pennsylvania

Rank by total paid#149 of 592

Median peer was paid$3K

This provider vs. median4.8×

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
2020	232	$2K
2021	1,499	$13K
2022	15	$439.26

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	65%	981	431	$10K
99308	Subsequent nursing facility care, per day, straightforward	30%	730	302	$5K
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	2.9%	15	15	$439.26
99306	Prolong nursin fac eval 15m	1.9%	20	19	$285.38

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 officialGESKIN, GENNADY (PRESIDENT JEFFERSON CARDIOLOGY ASSN)