Medicaid Provider Spending

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

PIONEER VALLEY CARDIOLOGY ASSOCIATES, INC

NPI: 1346511243 · SPRINGFIELD, MA 01104 · Specialist · NPI assigned 01/24/2012

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

Authorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more

$1.31M
Total Medicaid Paid
104,593
Total Claims
98,532
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
NPI Enumeration Date01/24/2012

Related Entities

Other providers sharing the same authorized official: HARRIS, JAMES

ProviderCityStateTotal Paid
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $266.39M
SAINT MARY'S HOSPITAL, INC. WATERBURY CT $163.27M
THE MERCY HOSPITAL INC SPRINGFIELD MA $98.92M
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT $41.97M
RIVERBEND MEDICAL GROUP, INC. SPRINGFIELD MA $38.70M
SYSTEM COORDINATED SERVICES, INC SPRINGFIELD MA $18.54M
BRIGHTSIDE INC SPRINGFIELD MA $11.41M
THE MERCY HOSPITAL INC HOLYOKE MA $10.93M
MERCY INPATIENT MEDICAL ASSOCIATES INC. SPRINGFIELD MA $6.96M
STATE OF NEW YORK COMPTROLLERS OFFICE BUFFALO NY $6.05M
SAINT FRANCIS CARE MEDICAL GROUP, PC HARTFORD CT $2.00M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $1.42M
MERCY MEDICAL GROUP, INC. SPRINGFIELD MA $1.08M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $382K
PRATER VOLUNTEER RESCUE SQUAD INC GRUNDY VA $331K
DIABETES AND LIFESTYLE MANAGEMENT, LLC DERRY NH $273K
MERCY SPECIALIST PHYSICIANS INC SPRINGFIELD MA $101K
HEALTH ACCESS, INC. CLARKSBURG WV $85K
GIBSON COUNTY PODIATRY LLC MILAN TN $83K
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,146 $119K
2019 11,887 $149K
2020 10,857 $158K
2021 17,026 $195K
2022 18,598 $250K
2023 20,555 $252K
2024 15,524 $191K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,082 15,863 $611K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,925 9,823 $255K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 53,628 48,506 $195K
93000 7,823 7,716 $49K
93296 4,444 4,369 $30K
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 1,976 1,930 $27K
93295 1,483 1,454 $21K
93227 1,386 1,377 $19K
93297 2,515 2,465 $18K
93458 157 152 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 184 182 $15K
93294 1,884 1,858 $13K
99232 Subsequent hospital care, per day, moderate complexity 553 318 $11K
93298 698 689 $9K
99222 Initial hospital care, per day, moderate complexity 162 160 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 179 179 $5K
93016 468 459 $4K
93299 256 256 $3K
93018 431 423 $2K
99215 Prolong outpt/office vis 26 26 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $897.08
93970 37 37 $526.78
99152 188 184 $452.36
93280 47 45 $359.87
93290 31 31 $204.86
99442 18 18 $110.95