Pediatric Cardiology
Pediatric Cardiology was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 22% of everything it billed.
ROCHESTER, NY 14642
Next to other Clinical Child & Adolescent Psychologist providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,514 | $108K | |
| 2019 | 8,226 | $200K | |
| 2020 | 10,498 | $318K | |
| 2021 | 12,750 | $408K | |
| 2022 | 12,525 | $366K | |
| 2023 | 12,371 | $373K | |
| 2024incomplete | 9,154 | $235K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 22% | 8,167 | 7,765 | $432K |
| 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% | 1,666 | 1,666 | $226K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 10% | 3,467 | 3,452 | $208K |
| 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 | 9.8% | 1,931 | 1,923 | $197K |
| 93000 | 9.1% | 13,169 | 13,079 | $182K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.1% | 2,247 | 721 | $143K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.9% | 1,500 | 475 | $138K |
| 93320 | 6.8% | 8,633 | 8,099 | $136K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 6.4% | 16,534 | 14,369 | $129K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 769 | 769 | $67K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 305 | 304 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 495 | 477 | $34K |
11 more codes
| 93325 | 1.6% | 10,955 | $33K | |
| 93224 | <1% | 185 | $14K | |
| 76825 | <1% | 100 | $7K | |
| 93227 | <1% | 126 | $6K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 41 | $6K |
| 93304 | <1% | 151 | $4K | |
| 76827 | <1% | 100 | $2K | |
| 93321 | <1% | 291 | $2K | |
| 93296 | <1% | 113 | $1K | |
| 93298 | <1% | 55 | $1K | |
| 93294 | <1% | 38 | $974.19 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.