Physician
Genesis Heart and Vascular Associates, PLLC
Genesis Heart and Vascular Associates, PLLC was paid $755K by Medicaid between Jan 2019 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoGENESIS HEART AND VASCULAR ASSOCIATES, PLLC
JEFFERSON CITY, TN 37760
JEFFERSON CITY, TN 37760
33aNPI1376916932assigned 11/04/2015
33bProvider typeCardiovascular Disease Physician
28Total paid$755K
24GClaims25,129
24DCodes billed22
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Tennessee
Rank by total paid#11 of 136
Median peer was paid$21K
This provider vs. median36×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 100 | $1K | |
| 2020 | 153 | $5K | |
| 2021 | 5,461 | $184K | |
| 2022 | 5,740 | $199K | |
| 2023 | 5,876 | $170K | |
| 2024incomplete | 7,799 | $197K |
Box 24 · Service lines
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 | 27% | 8,848 | 7,409 | $203K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 21% | 3,529 | 3,108 | $159K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 13% | 1,429 | 1,101 | $96K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 11% | 1,119 | 826 | $85K |
| 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 | 5.9% | 836 | 715 | $45K |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | 5.6% | 290 | 211 | $42K |
| 93880 | 4.0% | 908 | 805 | $30K | |
| J2785 | Injection, regadenoson, 0.1 mg | 3.4% | 556 | 425 | $26K |
| 93015 | 3.4% | 1,201 | 900 | $25K | |
| 93000 | 2.4% | 3,145 | 2,672 | $18K | |
| 99223 | Prolong inpt eval add15 m | 1.0% | 232 | 199 | $8K |
| 93458 | <1% | 127 | 103 | $8K |
10 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,535 | $3K |
| 99152 | <1% | 368 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 676 | $2K |
| 93228 | <1% | 144 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 50 | $744.36 |
| 99205 | Prolong outpt/office vis | <1% | 19 | $663.65 |
| 93298 | <1% | 36 | $354.59 | |
| 93288 | <1% | 44 | $342.60 | |
| 93291 | <1% | 21 | $258.46 | |
| 93018 | <1% | 16 | $46.81 |
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 officialPATEL, PRAGNESH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Allergy Asthma Specialists, PA | Altamonte Springs, FL | $496K |
| Neurobehavioral Medicine LLC | Tampa, FL | $188K |
| Shayanam LLC | Irvington, NJ | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.