Cardiac Health Management Network, P.C.

Cardiac Health Management Network, P.C. was paid $4K by Medicaid between Feb 2018 and Aug 2019, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoCARDIAC HEALTH MANAGEMENT NETWORK, P.C.
CHESTER, VA 23836

33aNPI1306267414assigned 12/17/2013

33bProvider typeCardiovascular Disease Physician

28Total paid$4K

24GClaims243

24DCodes billed4

24AFirst – last monthFeb 2018 – Aug 2019

Compared with peers

Next to other Cardiovascular Disease Physician providers in Virginia

Rank by total paid#59 of 117

Median peer was paid$4K

This provider vs. median1.0×

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	53	$494.59
2019	190	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	87%	163	99	$3K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	8.3%	13	12	$331.81
93000		5.1%	50	26	$205.81
2000F		0%	17	13	$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 officialDUNCAN, PHILLIP (MEDICAL DIRECTOR)