Physician
Cumberland Cardiology, P.A.
Cumberland Cardiology, P.A. was paid $471K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoCUMBERLAND CARDIOLOGY, P.A.
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
33aNPI1386827574assigned 12/11/2007
33bProvider typeInterventional Cardiology Physician
28Total paid$471K
24GClaims30,489
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in North Carolina
Rank by total paid#3 of 14
Median peer was paid$64K
This provider vs. median7.3×
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 | |
|---|---|---|---|
| 2018 | 1,822 | $68K | |
| 2019 | 1,491 | $74K | |
| 2020 | 1,376 | $70K | |
| 2021 | 3,036 | $67K | |
| 2022 | 5,629 | $70K | |
| 2023 | 7,208 | $57K | |
| 2024incomplete | 9,927 | $65K |
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 | 52% | 6,687 | 4,711 | $244K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 26% | 2,536 | 1,787 | $121K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.7% | 767 | 550 | $27K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 3.4% | 283 | 219 | $16K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 579 | 160 | $13K |
| 99245 | 2.5% | 74 | 68 | $12K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.3% | 105 | 90 | $11K |
| 99406 | 1.4% | 1,105 | 874 | $7K | |
| 99255 | 1.1% | 60 | 37 | $5K | |
| 93000 | <1% | 547 | 456 | $5K | |
| 93015 | <1% | 113 | 94 | $4K | |
| 99199 | Unlisted special service, procedure or report | <1% | 1,202 | 1,200 | $3K |
26 more codes
| 93312 | <1% | 51 | $1K | |
| 93970 | <1% | 22 | $733.04 | |
| 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% | 509 | $460.12 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 952 | $347.82 |
| 1036F | <1% | 2,428 | $182.79 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,904 | $158.85 |
| 3078F | <1% | 1,612 | $157.88 | |
| 3074F | <1% | 1,113 | $157.86 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,912 | $157.79 |
| Q9969 | Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose | <1% | 60 | $69.00 |
| 3077F | <1% | 603 | $25.03 | |
| 1160F | <1% | 385 | $0.07 | |
| 1159F | <1% | 254 | $0.07 | |
| 3079F | <1% | 154 | $0.04 | |
| 3075F | 0% | 259 | $0.00 | |
| 3008F | 0% | 395 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 460 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 727 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 44 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 401 | $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% | 58 | $0.00 |
| 1034F | 0% | 49 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 346 | $0.00 |
| 4004F | 0% | 216 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 123 | $0.00 |
| 1124F | 0% | 394 | $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 officialEJEH, SYLVESTER (PRESIDENT)