Physician
James River Cardiology, LLC
James River Cardiology, LLC was paid $3.18M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoJAMES RIVER CARDIOLOGY, LLC
COLONIAL HEIGHTS, VA 23834
COLONIAL HEIGHTS, VA 23834
33aNPI1407157647assigned 11/04/2010
33bProvider typeCardiovascular Disease Physician
28Total paid$3.18M
24GClaims61,079
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Virginia
Rank by total paid#1 of 117
Median peer was paid$4K
This provider vs. median793×
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 | 3,111 | $63K | |
| 2019 | 5,415 | $237K | |
| 2020 | 5,750 | $291K | |
| 2021 | 8,955 | $483K | |
| 2022 | 11,039 | $552K | |
| 2023 | 13,780 | $829K | |
| 2024incomplete | 13,029 | $724K |
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 | 23% | 13,428 | 12,252 | $722K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 20% | 8,436 | 7,894 | $639K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 12% | 1,989 | 1,823 | $385K |
| 93229 | 5.2% | 391 | 377 | $165K | |
| 78431 | 4.9% | 179 | 164 | $155K | |
| 99223 | Prolong inpt eval add15 m | 3.2% | 1,286 | 1,186 | $102K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.2% | 2,119 | 1,244 | $102K |
| 93970 | 2.8% | 1,409 | 1,322 | $87K | |
| 93000 | 2.7% | 10,362 | 9,677 | $87K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 2,990 | 1,411 | $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 | 2.5% | 964 | 886 | $79K |
| 93015 | 2.4% | 1,878 | 1,767 | $75K |
43 more codes
| J2785 | Injection, regadenoson, 0.1 mg | 1.9% | 623 | $60K |
| 93241 | 1.6% | 821 | $52K | |
| 99205 | Prolong outpt/office vis | 1.6% | 442 | $49K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.5% | 507 | $47K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.4% | 181 | $45K |
| 93458 | <1% | 209 | $30K | |
| 93298 | <1% | 1,628 | $29K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 217 | $28K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 179 | $24K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 896 | $24K |
| 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 | <1% | 1,701 | $19K |
| 93971 | <1% | 885 | $16K | |
| 93922 | <1% | 422 | $15K | |
| 99439 | <1% | 455 | $6K | |
| 93228 | <1% | 487 | $6K | |
| 93925 | <1% | 45 | $5K | |
| 93297 | <1% | 416 | $5K | |
| 99490 | Ccm add 20min | <1% | 457 | $5K |
| 99457 | <1% | 711 | $4K | |
| 99458 | <1% | 561 | $4K | |
| 93880 | <1% | 65 | $3K | |
| 99152 | <1% | 456 | $3K | |
| 93296 | <1% | 317 | $3K | |
| 99454 | <1% | 475 | $3K | |
| 93224 | <1% | 59 | $3K | |
| 0011A | <1% | 68 | $2K | |
| 0295T | <1% | 62 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $900.39 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 180 | $675.29 |
| 93308 | <1% | 27 | $409.38 | |
| 93295 | <1% | 28 | $383.89 | |
| 93016 | <1% | 25 | $228.12 | |
| 76937 | <1% | 25 | $219.02 | |
| 93018 | <1% | 26 | $170.64 | |
| 99453 | <1% | 40 | $150.16 | |
| 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% | 24 | $129.06 |
| 93321 | <1% | 13 | $73.79 | |
| 1036F | 0% | 390 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 462 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 634 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 124 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 185 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 102 | $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 officialAMIN, MITESH (CARDIOLOGIST)