Medicaid Provider Spending

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

CARDIOLOGY SPECIALISTS MEDICAL GROUP, INC.

NPI: 1467487983 · RIVERSIDE, CA 92506 · Specialist · NPI assigned 07/12/2006

$8.03M
Total Medicaid Paid
165,119
Total Claims
148,144
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPATANKAR, KAUSTUBH (PRESIDENT)
NPI Enumeration Date07/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 24,296 $1.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24,709 24,374 $2.59M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19,486 19,409 $1.32M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,579 24,237 $841K
93000 33,853 33,589 $674K
99232 Subsequent hospital care, per day, moderate complexity 21,614 7,134 $538K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,726 1,722 $503K
99223 Prolong inpt eval add15 m 8,229 8,034 $482K
93015 2,921 2,912 $220K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 932 930 $215K
93458 1,121 1,104 $190K
J2785 Injection, regadenoson, 0.1 mg 870 864 $140K
99233 Prolong inpt eval add15 m 3,332 2,444 $100K
99152 2,410 2,243 $45K
93462 400 390 $44K
93454 252 234 $35K
93312 384 379 $30K
99205 Prolong outpt/office vis 302 299 $23K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 187 183 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 242 240 $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 688 679 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 163 162 $5K
93283 41 41 $1K
3008F 2,953 2,944 $1K
75716 51 50 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 63 61 $1K
93280 15 15 $357.01
99153 Mod sedat endo service >5yrs 43 38 $249.66
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,713 3,684 $203.72
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15 15 $109.16
99447 13 13 $99.03
G8420 Bmi is documented within normal parameters and no follow-up plan is required 905 890 $35.81
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 1,468 1,447 $22.86
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,085 1,081 $20.50
G8754 Most recent diastolic blood pressure < 90 mmhg 494 491 $3.13
3074F 194 193 $1.00
3078F 194 194 $1.00
G8783 Normal blood pressure reading documented, follow-up not required 1,663 1,647 $0.57
1036F 2,839 2,817 $0.19
G8753 Most recent systolic blood pressure >= 140 mmhg 27 27 $0.06
3120F 27 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) 284 283 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 84 79 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 388 386 $0.00
1124F 146 145 $0.00
3077F 14 14 $0.00