Cardiology Specialists Medical Group, INC.
Cardiology Specialists Medical Group, INC. was paid $8.03M by Medicaid between Jan 2018 and Oct 2024, across 45 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 32% of everything it billed.
33Billing provider infoCARDIOLOGY SPECIALISTS MEDICAL GROUP, INC.
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
33aNPI1467487983assigned 07/12/2006
33bProvider typeSpecialist
28Total paid$8.03M
24GClaims165,119
24DCodes billed45
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#24 of 1,230
Median peer was paid$51K
This provider vs. median156×
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 | 21,378 | $1.19M | |
| 2019 | 24,926 | $1.16M | |
| 2020 | 15,477 | $763K | |
| 2021 | 20,646 | $1.00M | |
| 2022 | 23,196 | $1.05M | |
| 2023 | 35,200 | $1.58M | |
| 2024incomplete | 24,296 | $1.29M |
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 | 32% | 24,709 | 24,374 | $2.59M |
| 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 | 16% | 19,486 | 19,409 | $1.32M |
| 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 | 10% | 24,579 | 24,237 | $841K |
| 93000 | 8.4% | 33,853 | 33,589 | $674K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.7% | 21,614 | 7,134 | $538K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 6.3% | 1,726 | 1,722 | $503K |
| 99223 | Prolong inpt eval add15 m | 6.0% | 8,229 | 8,034 | $482K |
| 93015 | 2.7% | 2,921 | 2,912 | $220K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.7% | 932 | 930 | $215K |
| 93458 | 2.4% | 1,121 | 1,104 | $190K | |
| J2785 | Injection, regadenoson, 0.1 mg | 1.7% | 870 | 864 | $140K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 3,332 | 2,444 | $100K |
33 more codes
| 99152 | <1% | 2,410 | $45K | |
| 93462 | <1% | 400 | $44K | |
| 93454 | <1% | 252 | $35K | |
| 93312 | <1% | 384 | $30K | |
| 99205 | Prolong outpt/office vis | <1% | 302 | $23K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 187 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 242 | $12K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 688 | $5K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 163 | $5K |
| 93283 | <1% | 41 | $1K | |
| 3008F | <1% | 2,953 | $1K | |
| 75716 | <1% | 51 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 63 | $1K |
| 93280 | <1% | 15 | $357.01 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 43 | $249.66 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,713 | $203.72 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 15 | $109.16 |
| 99447 | <1% | 13 | $99.03 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 905 | $35.81 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | <1% | 1,468 | $22.86 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,085 | $20.50 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 494 | $3.13 |
| 3074F | <1% | 194 | $1.00 | |
| 3078F | <1% | 194 | $1.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 1,663 | $0.57 |
| 1036F | <1% | 2,839 | $0.19 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 27 | $0.06 |
| 3120F | <1% | 27 | $0.01 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 284 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 84 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 388 | $0.00 |
| 1124F | 0% | 146 | $0.00 | |
| 3077F | 0% | 14 | $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 officialPATANKAR, KAUSTUBH (PRESIDENT)