Pediatric Cardiology Associates PC
Pediatric Cardiology Associates PC was paid $6.33M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 36% of everything it billed.
33Billing provider infoPEDIATRIC CARDIOLOGY ASSOCIATES PC
ELMWOOD PARK, NJ 07407
ELMWOOD PARK, NJ 07407
33aNPI1295873255assigned 02/02/2007
33bProvider typeSpecialist
28Total paid$6.33M
24GClaims81,224
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#7 of 378
Median peer was paid$63K
This provider vs. median101×
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 | 12,661 | $1000K | |
| 2019 | 12,174 | $942K | |
| 2020 | 10,395 | $810K | |
| 2021 | 10,447 | $832K | |
| 2022 | 12,318 | $948K | |
| 2023 | 12,518 | $983K | |
| 2024incomplete | 10,711 | $814K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 36% | 11,567 | 10,977 | $2.25M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 6,844 | 6,795 | $720K |
| 76825 | 11% | 2,742 | 2,694 | $676K | |
| 93320 | 8.2% | 11,507 | 10,924 | $521K | |
| 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 | 6.5% | 3,734 | 3,670 | $414K |
| 93000 | 4.3% | 18,141 | 17,802 | $270K | |
| 93325 | 3.8% | 14,305 | 13,639 | $243K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.8% | 1,650 | 1,568 | $243K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.4% | 1,294 | 1,260 | $217K |
| 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 | 3.1% | 1,282 | 1,265 | $199K |
| 76827 | 3.0% | 2,743 | 2,695 | $190K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 2,075 | 2,059 | $163K |
8 more codes
| 99243 | 1.6% | 878 | $102K | |
| 76820 | 1.5% | 2,165 | $97K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 120 | $20K |
| 93224 | <1% | 14 | $1K | |
| 0298T | <1% | 66 | $1K | |
| 0296T | <1% | 63 | $699.34 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 22 | $177.74 |
| 93242 | <1% | 12 | $156.80 |
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 officialMESSINA, JOHN (DOCTOR)