Medicaid Provider Spending

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

HEART CLINIC, PLLC

NPI: 1437153244 · MCALLEN, TX 78503 · Clinical Cardiac Electrophysiology Physician · NPI assigned 06/09/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EVANS, TODD controls 20+ related entities in our dataset. Read more

$385K
Total Medicaid Paid
26,376
Total Claims
22,669
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEVANS, TODD (VP)
NPI Enumeration Date06/09/2005

Related Entities

Other providers sharing the same authorized official: EVANS, TODD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,386 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,692 5,533 $143K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,803 7,382 $111K
99232 Subsequent hospital care, per day, moderate complexity 5,385 2,633 $88K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,728 3,625 $26K
93000 2,954 2,790 $8K
99233 Prolong inpt eval add15 m 119 58 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 56 53 $2K
99215 Prolong outpt/office vis 30 29 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 43 12 $1K
99222 Initial hospital care, per day, moderate complexity 203 196 $698.99
93308 57 56 $526.18
99443 50 49 $372.07
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 62 62 $356.14
93321 53 52 $124.32
99221 12 12 $58.72
93018 30 30 $0.00
93016 30 30 $0.00
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 30 30 $0.00
99205 Prolong outpt/office vis 12 12 $0.00
99152 14 12 $0.00
99223 Prolong inpt eval add15 m 13 13 $0.00