Physician
Regional Cardiology Associates, P.L.C.
Regional Cardiology Associates, P.L.C. was paid $415K by Medicaid between Jan 2018 and Jun 2022, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoREGIONAL CARDIOLOGY ASSOCIATES, P.L.C.
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
33aNPI1447210356assigned 03/24/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$415K
24GClaims12,908
24DCodes billed21
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Cardiovascular Disease Physician providers in Michigan
Rank by total paid#41 of 134
Median peer was paid$91K
This provider vs. median4.5×
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 | 4,921 | $165K | |
| 2019 | 2,572 | $84K | |
| 2020 | 2,613 | $67K | |
| 2021 | 2,179 | $69K | |
| 2022 | 623 | $30K |
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 | 37% | 3,196 | 3,064 | $155K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 19% | 1,174 | 1,164 | $79K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 8.9% | 282 | 271 | $37K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 8.5% | 252 | 244 | $35K |
| J2785 | Injection, regadenoson, 0.1 mg | 6.4% | 193 | 187 | $26K |
| 93000 | 4.3% | 2,488 | 2,445 | $18K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.0% | 3,864 | 3,213 | $17K |
| 93015 | 3.1% | 532 | 520 | $13K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 215 | 83 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 219 | 217 | $7K |
| 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 | 1.4% | 87 | 85 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 104 | 97 | $6K |
9 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $1K |
| Q9957 | Injection, perflutren lipid microspheres, per ml | <1% | 24 | $1K |
| 93351 | <1% | 13 | $1K | |
| 93320 | <1% | 54 | $1K | |
| 93325 | <1% | 86 | $592.18 | |
| 93272 | <1% | 13 | $156.86 | |
| 3074F | 0% | 35 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 38 | $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 officialSANDERS, LINDA (BUSINESS MANAGER)