Physician
Heart Clinic, PLLC
Heart Clinic, PLLC was paid $385K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 37% of everything it billed.
33Billing provider infoHEART CLINIC, PLLC
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1437153244assigned 06/09/2005
33bProvider typeClinical Cardiac Electrophysiology Physician
28Total paid$385K
24GClaims26,376
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Cardiac Electrophysiology Physician providers in Texas
Rank by total paid#2 of 22
Median peer was paid$9K
This provider vs. median42×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official EVANS, TODD controls 20+ related entities in our dataset. Read more
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 | 6,204 | $62K | |
| 2019 | 4,998 | $57K | |
| 2020 | 3,273 | $29K | |
| 2021 | 5,575 | $88K | |
| 2022 | 3,012 | $67K | |
| 2023 | 1,928 | $46K | |
| 2024incomplete | 1,386 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 37% | 5,692 | 5,533 | $143K |
| 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 | 29% | 7,803 | 7,382 | $111K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 23% | 5,385 | 2,633 | $88K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 3,728 | 3,625 | $26K |
| 93000 | 2.1% | 2,954 | 2,790 | $8K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 119 | 58 | $3K |
| 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 | <1% | 56 | 53 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 30 | 29 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 43 | 12 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 203 | 196 | $698.99 |
| 93308 | <1% | 57 | 56 | $526.18 | |
| 99443 | <1% | 50 | 49 | $372.07 |
9 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 62 | $356.14 |
| 93321 | <1% | 53 | $124.32 | |
| 99221 | <1% | 12 | $58.72 | |
| 93018 | 0% | 30 | $0.00 | |
| 93016 | 0% | 30 | $0.00 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 0% | 30 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 12 | $0.00 |
| 99152 | 0% | 14 | $0.00 | |
| 99223 | Prolong inpt eval add15 m | 0% | 13 | $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 officialEVANS, TODD (VP)
| Provider | Location | Paid |
|---|---|---|
| Mcallen Hospitalist Group, PLLC | Edinburg, TX | $7.40M |
| Texomacare | Denison, TX | $5.95M |
| Northwest Texas Wyatt Clinic PLLC | Amarillo, TX | $4.39M |
| Northern Nevada Medical Group, LLC | Sparks, NV | $2.60M |
| Texomacare | Madill, OK | $2.35M |
| Mid Atlantic Medicine LLC | Washington, DC | $1.84M |
| ST. Mary's Physician Associates, LLC | Enid, OK | $1.76M |
| Las Vegas Medical Group LLC | Las Vegas, NV | $1.36M |
| Aiken Professional Association, LLC | Aiken, SC | $1.35M |
| Northwest Urgent Care, PLLC | Amarillo, TX | $1.02M |
| Texomacare Specialty Physicians | Denison, TX | $644K |
| Eastern Pennsylvania Physician Alliance LLC | Clarion, PA | $636K |
| NWTX Physician Network, PLLC | Amarillo, TX | $475K |
| Laredo Physicians Group | Laredo, TX | $365K |
| Nevada Urgent Care Network LLC | Sparks, NV | $211K |
| Uhs of Desert Springs, INC. | Henderson, NV | $151K |
| Manatee Cardiology Associates, LLC | Bradenton, FL | $23K |
| Wellington Physician Alliances INC | Wellington, FL | $14K |
| Manatee Physician Alliance, LLC | Bradenton, FL | $14K |
| Mary Alice Cowan, MD, PLLC | Houston, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.