Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HEARTCARE, PC

NPI: 1326120940 · CULLMAN, AL 35058 · Cardiovascular Disease Physician · NPI assigned 10/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LEE, JAMES controls 15+ related entities in our dataset. Read more

$8K
Total Medicaid Paid
245
Total Claims
214
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialLEE, JAMES (PRESIDENT/OWNER)
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: LEE, JAMES

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 212 $7K
2019 33 $868.23

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 152 132 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 58 57 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 21 13 $337.26
93000 14 12 $141.23