Cardiovascular Associates of Western Mass PC

Cardiovascular Associates of Western Mass PC was paid $7K by Medicaid between Jan 2018 and Apr 2019, across 3 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 58% of everything it billed.

33Billing provider infoCARDIOVASCULAR ASSOCIATES OF WESTERN MASS PC
WESTFIELD, MA 01085

33aNPI1306959937assigned 08/17/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$7K

24GClaims1,803

24DCodes billed3

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Cardiovascular Disease Physician providers in Massachusetts

Rank by total paid#99 of 321

Median peer was paid$2K

This provider vs. median4.5×

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	1,528	$7K
2019	275	$588.02

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	58%	1,743	1,402	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	32	32	$2K
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	14%	28	27	$997.43

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 officialKENIA, SHANTILAL (PRESIDENT)