Physician
Appalachian Heart Center, PSC
Appalachian Heart Center, PSC was paid $1.01M by Medicaid between Jan 2018 and Nov 2021, across 24 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 28% of everything it billed.
33Billing provider infoAPPALACHIAN HEART CENTER, PSC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1437257870assigned 09/20/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$1.01M
24GClaims27,158
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Cardiovascular Disease Physician providers in Kentucky
Rank by total paid#3 of 47
Median peer was paid$23K
This provider vs. median43×
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 | 10,238 | $409K | |
| 2019 | 5,649 | $232K | |
| 2020 | 5,959 | $194K | |
| 2021 | 5,312 | $174K |
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 | 28% | 3,963 | 3,261 | $279K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 6,234 | 4,954 | $125K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 12% | 1,038 | 1,007 | $121K |
| 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 | 12% | 4,435 | 3,254 | $120K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 10.0% | 809 | 664 | $101K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.1% | 4,828 | 1,180 | $72K |
| 93015 | 6.6% | 1,264 | 1,074 | $67K | |
| 93224 | 3.1% | 366 | 328 | $32K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.9% | 536 | 443 | $29K |
| 93000 | 2.7% | 2,100 | 1,792 | $28K | |
| 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 | 1.0% | 234 | 186 | $10K |
| 99254 | <1% | 76 | 74 | $8K |
12 more codes
| 93458 | <1% | 33 | $5K | |
| J1245 | Injection, dipyridamole, per 10 mg | <1% | 600 | $4K |
| 93970 | <1% | 38 | $4K | |
| 99243 | <1% | 27 | $2K | |
| 97597 | <1% | 95 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 281 | $531.77 |
| 93280 | <1% | 20 | $497.72 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 94 | $258.90 |
| 93297 | <1% | 14 | $149.71 | |
| 99490 | Ccm add 20min | <1% | 41 | $127.04 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $93.24 |
| 93299 | <1% | 14 | $78.75 |
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 officialYALAMANCHI, VIDYA (OWNER)