Heartcare, PC
Heartcare, PC was paid $8K by Medicaid between Jan 2018 and Feb 2019, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
CULLMAN, AL 35058
Next to other Cardiovascular Disease Physician providers in Alabama
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 | 212 | $7K | |
| 2019 | 33 | $868.23 |
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 | 81% | 152 | 132 | $7K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 13% | 58 | 57 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.1% | 21 | 13 | $337.26 |
| 93000 | 1.7% | 14 | 12 | $141.23 |
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
| Provider | Location | Paid |
|---|---|---|
| Kona Hospital | Kealakekua, HI | $22.27M |
| Adventist Healthcare, INC. | Rockville, MD | $9.70M |
| Adventist Healthcare, INC. | Silver Spring, MD | $4.50M |
| Adventist Healthcare Urgent Care Centers INC | Rockville, MD | $1.56M |
| Pure Dental, PC | Flushing, NY | $1.24M |
| Access Home Medical LLC | Sumter, SC | $520K |
| Adventist Rehabilitation Hospital of Maryland INC | Rockville, MD | $470K |
| James Lee MD PC | Colorado Springs, CO | $450K |
| Peak Surgery Center LLC | Colorado Springs, CO | $36K |
| Ascension Behavioral Healthcare, P.A. | Rock Hill, SC | $23K |
| DR Keith Lee-Integrative Mental Health, LLC | Owensboro, KY | $6K |
| Ent & Allergy Specialists of Virginia PC | Ashburn, VA | $1K |
| Outpatient Biopsy Center | Alhambra, CA | $430.63 |
| Adventist Healthcare, INC. | Rockville, MD | $0.00 |
| Vascular Center of Intervention, INC. | Fresno, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.