Medicaid Provider Spending

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

CUMBERLAND CARDIOLOGY, P.A.

NPI: 1386827574 · FAYETTEVILLE, NC 28303 · Interventional Cardiology Physician · NPI assigned 12/11/2007

$471K
Total Medicaid Paid
30,489
Total Claims
23,314
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEJEH, SYLVESTER (PRESIDENT)
NPI Enumeration Date12/11/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,927 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,687 4,711 $244K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,536 1,787 $121K
99215 Prolong outpt/office vis 767 550 $27K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 283 219 $16K
99232 Subsequent hospital care, per day, moderate complexity 579 160 $13K
99245 74 68 $12K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 105 90 $11K
99406 1,105 874 $7K
99255 60 37 $5K
93000 547 456 $5K
93015 113 94 $4K
99199 Unlisted special service, procedure or report 1,202 1,200 $3K
93312 51 15 $1K
93970 22 13 $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) 509 364 $460.12
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 952 767 $347.82
1036F 2,428 1,791 $182.79
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,904 2,256 $158.85
3078F 1,612 1,294 $157.88
3074F 1,113 877 $157.86
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,912 1,540 $157.79
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 60 53 $69.00
3077F 603 537 $25.03
1160F 385 321 $0.07
1159F 254 214 $0.07
3079F 154 135 $0.04
3075F 259 201 $0.00
3008F 395 332 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 460 414 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 727 529 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 44 38 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 401 356 $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) 58 50 $0.00
1034F 49 38 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 346 314 $0.00
4004F 216 195 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 123 108 $0.00
1124F 394 316 $0.00