Physician
Mountain Heart Medical Practice PLLC
Mountain Heart Medical Practice PLLC was paid $1.06M by Medicaid between Jan 2018 and Apr 2020, across 27 billing codes. Its largest line is 95811, — 23% of everything it billed.
33Billing provider infoMOUNTAIN HEART MEDICAL PRACTICE PLLC
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
33aNPI1306009519assigned 07/08/2008
33bProvider typeCardiovascular Disease Physician
28Total paid$1.06M
24GClaims15,484
24DCodes billed27
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Cardiovascular Disease Physician providers in Arizona
Rank by total paid#15 of 98
Median peer was paid$37K
This provider vs. median28×
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 | 6,466 | $423K | |
| 2019 | 7,180 | $472K | |
| 2020 | 1,838 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95811 | 23% | 565 | 559 | $240K | |
| 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 | 20% | 3,967 | 3,878 | $211K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 19% | 2,755 | 2,724 | $203K |
| 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 | 11% | 1,227 | 1,218 | $114K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 9.5% | 636 | 627 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 937 | 921 | $35K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.0% | 285 | 283 | $32K |
| 93000 | 2.3% | 2,189 | 2,164 | $24K | |
| 93880 | 1.8% | 173 | 172 | $19K | |
| J2785 | Injection, regadenoson, 0.1 mg | 1.7% | 228 | 227 | $18K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.6% | 41 | 41 | $17K |
| 93351 | 1.4% | 129 | 128 | $15K |
15 more codes
| 93015 | <1% | 236 | $8K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,054 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 202 | $3K |
| 93280 | <1% | 104 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 93296 | <1% | 132 | $2K | |
| 94660 | <1% | 26 | $1K | |
| 93016 | <1% | 63 | $667.19 | |
| 93227 | <1% | 26 | $453.99 | |
| 93018 | <1% | 63 | $445.04 | |
| 93294 | <1% | 12 | $319.35 | |
| 99441 | <1% | 29 | $243.72 | |
| 93017 | <1% | 14 | $232.78 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 337 | $74.01 |
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 officialDUVAL, SUZANNE (CREDENTIALING)