Pioneer Valley Cardiology Associates, INC
Pioneer Valley Cardiology Associates, INC was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
SPRINGFIELD, MA 01104
Next to other Specialist providers in Massachusetts
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 | 10,146 | $119K | |
| 2019 | 11,887 | $149K | |
| 2020 | 10,857 | $158K | |
| 2021 | 17,026 | $195K | |
| 2022 | 18,598 | $250K | |
| 2023 | 20,555 | $252K | |
| 2024incomplete | 15,524 | $191K |
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 | 47% | 16,082 | 15,863 | $611K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 19% | 9,925 | 9,823 | $255K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 15% | 53,628 | 48,506 | $195K |
| 93000 | 3.7% | 7,823 | 7,716 | $49K | |
| 93296 | 2.3% | 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 | 2.1% | 1,976 | 1,930 | $27K |
| 93295 | 1.6% | 1,483 | 1,454 | $21K | |
| 93227 | 1.5% | 1,386 | 1,377 | $19K | |
| 93297 | 1.4% | 2,515 | 2,465 | $18K | |
| 93458 | 1.2% | 157 | 152 | $15K | |
| 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 | 1.2% | 184 | 182 | $15K |
| 93294 | <1% | 1,884 | 1,858 | $13K |
14 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 553 | $11K |
| 93298 | <1% | 698 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 162 | $6K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 179 | $5K |
| 93016 | <1% | 468 | $4K | |
| 93299 | <1% | 256 | $3K | |
| 93018 | <1% | 431 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $897.08 |
| 93970 | <1% | 37 | $526.78 | |
| 99152 | <1% | 188 | $452.36 | |
| 93280 | <1% | 47 | $359.87 | |
| 93290 | <1% | 31 | $204.86 | |
| 99442 | <1% | 18 | $110.95 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.