Physician
Santa Rosa Cardiology Medical Group, INC.
Santa Rosa Cardiology Medical Group, INC. was paid $1.99M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 36475, — 62% of everything it billed.
33Billing provider infoSANTA ROSA CARDIOLOGY MEDICAL GROUP, INC.
SANTA ROSA, CA 95404
SANTA ROSA, CA 95404
33aNPI1295842532assigned 08/24/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$1.99M
24GClaims12,996
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in California
Rank by total paid#51 of 714
Median peer was paid$28K
This provider vs. median70×
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 | 1,128 | $125K | |
| 2019 | 1,244 | $82K | |
| 2020 | 1,434 | $113K | |
| 2021 | 1,990 | $306K | |
| 2022 | 2,353 | $341K | |
| 2023 | 2,280 | $184K | |
| 2024incomplete | 2,567 | $838K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 36475 | 62% | 527 | 357 | $1.24M | |
| 36470 | 11% | 2,895 | 1,558 | $212K | |
| 93970 | 9.6% | 1,032 | 1,008 | $191K | |
| 76942 | 8.7% | 3,310 | 1,804 | $172K | |
| 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 | 2.8% | 1,871 | 1,834 | $55K |
| 93000 | 2.7% | 2,294 | 2,247 | $53K | |
| 93971 | 1.7% | 360 | 282 | $33K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 217 | 214 | $12K |
| 36471 | <1% | 97 | 81 | $10K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 54 | 54 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 28 | 28 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 231 | 169 | $2K |
3 more codes
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 officialHUNTER, JOHN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Heritage Pharmacy INC | Carroll, OH | $555K |
| Union Township School Corporation | Valparaiso, IN | $537K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.