Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Los Angeles › NPI 1366759904
Physician

Wilshire Cardiology Group, a Professional Corporation

Wilshire Cardiology Group, a Professional Corporation was paid $731K by Medicaid between Jan 2018 and Dec 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoWILSHIRE CARDIOLOGY GROUP, A PROFESSIONAL CORPORATION
LOS ANGELES, CA 90020
33aNPI1366759904assigned 09/02/2010
28Total paid$731K
24GClaims28,665
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Nuclear Medicine Physician providers in California

Rank by total paid#10 of 32
Median peer was paid$140K
This provider vs. median5.2×

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$10K$20K$30K2018201920202021202220232024
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
20186,029$151K
20196,453$165K
20204,245$116K
20214,033$166K
20223,275$96K
20234,630$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 11,967 11,059 $331K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26% 3,070 3,067 $191K
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 8.7% 1,922 1,853 $64K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 3.9% 278 278 $28K
93000 3.9% 5,211 5,104 $28K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2.8% 266 266 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.8% 381 329 $13K
99223 Prolong inpt eval add15 m 1.8% 116 112 $13K
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 1.5% 210 210 $11K
93015 1.0% 293 293 $7K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 340 116 $7K
93880 <1% 222 222 $6K
17 more codes
93351 <1% 83 $5K
93970 <1% 258 $1K
93978 <1% 175 $1K
93280 <1% 51 $959.23
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 1,527 $669.04
99490 Ccm add 20min <1% 263 $621.06
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 81 $436.55
G8753 Most recent systolic blood pressure >= 140 mmhg <1% 345 $351.15
J0280 Injection, aminophyllin, up to 250 mg <1% 225 $220.28
G8752 Most recent systolic blood pressure < 140 mmhg <1% 45 $212.15
J1245 Injection, dipyridamole, per 10 mg <1% 225 $165.51
93971 <1% 52 $114.22
G8418 Bmi is documented below normal parameters and a follow-up plan is documented <1% 521 $46.74
90756 <1% 63 $27.25
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 322 $24.00
G0008 Administration of influenza virus vaccine 0% 101 $0.00
90686 0% 52 $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 officialPARK, STEVE SEEKOOK (OWNER)