Hamilton Cardiology Associates, PA

Hamilton Cardiology Associates, PA was paid $688K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoHAMILTON CARDIOLOGY ASSOCIATES, PA
HAMILTON, NJ 08690

33aNPI1326026378assigned 01/09/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$688K

24GClaims72,069

24DCodes billed30

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in New Jersey

Rank by total paid#24 of 204

Median peer was paid$12K

This provider vs. median55×

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	11,300	$171K
2019	9,267	$110K
2020	9,197	$64K
2021	13,777	$103K
2022	13,222	$112K
2023	9,103	$81K
2024incomplete	6,203	$46K

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	38%	13,073	11,898	$258K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	15%	3,235	3,014	$105K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	12%	22,863	20,109	$85K
93000		10%	11,431	10,518	$69K
93224		5.0%	909	853	$34K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.0%	1,795	1,033	$27K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.9%	1,671	1,039	$20K
93015		2.3%	437	414	$16K
93880		2.2%	792	704	$15K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	2.1%	166	152	$15K
99490	Ccm add 20min	1.4%	7,583	6,908	$9K
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%	872	714	$7K

18 more codes

99223	Prolong inpt eval add15 m	<1%	238	$5K
99454		<1%	3,380	$4K
93970		<1%	150	$3K
99255		<1%	28	$2K
93297		<1%	528	$2K
93296		<1%	487	$2K
J2785	Injection, regadenoson, 0.1 mg	<1%	33	$1K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	12	$1K
99457		<1%	1,496	$993.31
99215	Doctor's office visit, returning patient (complex)	<1%	31	$988.51
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	<1%	33	$905.06
99222	Initial hospital care, per day, moderate complexity	<1%	29	$750.51
99213	Doctor's office visit, returning patient (routine)	<1%	63	$665.71
93299		<1%	64	$598.32
93925		<1%	37	$489.91
93922		<1%	93	$445.36
93978		<1%	18	$359.57
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	522	$258.44

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 officialGHUSSON, MAHMOUD (PRESIDENT)