Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Capital District Pediatric Cardiology Associates PC

Capital District Pediatric Cardiology Associates PC was paid $4.07M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 38% of everything it billed.

33Billing provider infoCAPITAL DISTRICT PEDIATRIC CARDIOLOGY ASSOCIATES PC
ALBANY, NY 12208
33aNPI1407923873assigned 11/29/2006
28Total paid$4.07M
24GClaims52,815
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Cardiology Physician providers in New York

Rank by total paid#3 of 89
Median peer was paid$3K
This provider vs. median1,318×

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$25K$50K$75K2018201920202021202220232024
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
20184,509$336K
20195,916$460K
20207,807$613K
20219,193$690K
20229,185$703K
20238,699$668K
2024incomplete7,506$599K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 38% 8,634 8,332 $1.55M
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 16% 5,811 5,765 $663K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14% 3,034 3,021 $551K
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 12% 2,981 2,981 $482K
93320 9.4% 8,866 8,423 $381K
93325 4.5% 9,616 9,131 $183K
93000 4.4% 12,909 12,831 $179K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 541 536 $45K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 205 205 $22K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 111 39 $10K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 93 53 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 14 14 $125.09

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 officialSPOONER, ERIC (PRESIDENT)
Same official

Other billing entities under SPOONER, ERIC

Full network →
ProviderLocationPaid
Louisiana Youth Connect, LLCMetairie, LA$557K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.