Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Morristown Heart Consultants PLLC

Morristown Heart Consultants PLLC was paid $440K by Medicaid between Jan 2018 and May 2019, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoMORRISTOWN HEART CONSULTANTS PLLC
MORRISTOWN, TN 37814
33aNPI1336330034assigned 08/07/2007
28Total paid$440K
24GClaims39,604
24DCodes billed37
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other Cardiovascular Disease Physician providers in Tennessee

Rank by total paid#14 of 136
Median peer was paid$21K
This provider vs. median21×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201823,923$303K
201915,681$137K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 4,959 4,281 $99K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 17% 1,198 1,097 $76K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14% 677 468 $63K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 9.9% 663 458 $44K
J2785 Injection, regadenoson, 0.1 mg 6.7% 461 334 $30K
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 5.4% 425 378 $24K
93458 4.4% 261 216 $20K
93015 4.1% 664 460 $18K
99231 Subsequent hospital care, per day, straightforward or low complexity 3.8% 2,618 649 $17K
93880 3.2% 445 415 $14K
93000 3.1% 2,022 1,827 $13K
99221 2.3% 714 634 $10K
25 more codes
99213 Doctor's office visit, returning patient (routine) 1.3% 497 $6K
99215 Doctor's office visit, returning patient (complex) <1% 167 $4K
93970 <1% 28 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 553 $1K
99205 Prolong outpt/office vis <1% 12 $528.71
93228 <1% 13 $105.17
77001 <1% 28 $35.10
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 2,307 $0.00
G9908 Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 169 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 758 $0.00
1036F 0% 2,307 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 0% 220 $0.00
4086F 0% 1,591 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 1,283 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 423 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 1,084 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 2,227 $0.00
4500F 0% 16 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 477 $0.00
76000 0% 197 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 4,015 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 2,133 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 1,874 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 849 $0.00
4004F 0% 1,269 $0.00

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 officialRAMAPRASAD, JYOTHI (SECRETARY)