Heart Care Consultants, LLC
Heart Care Consultants, LLC was paid $868K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoHEART CARE CONSULTANTS, LLC
PHILADELPHIA, PA 19143
PHILADELPHIA, PA 19143
33aNPI1467614677assigned 06/29/2008
33bProvider typeSpecialist
28Total paid$868K
24GClaims25,570
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#10 of 543
Median peer was paid$16K
This provider vs. median55×
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 | 1,877 | $36K | |
| 2019 | 16 | $63.03 | |
| 2020 | 1,128 | $33K | |
| 2021 | 7,122 | $213K | |
| 2022 | 7,654 | $258K | |
| 2023 | 5,156 | $197K | |
| 2024incomplete | 2,617 | $131K |
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 | 24% | 7,524 | 6,915 | $210K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 12% | 1,102 | 1,086 | $106K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | 9.3% | 2,660 | 2,558 | $81K |
| 93924 | 8.8% | 1,088 | 1,062 | $76K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 8.4% | 330 | 316 | $73K |
| 93297 | 6.4% | 2,872 | 2,799 | $56K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 1,351 | 1,259 | $36K |
| 93000 | 3.2% | 2,231 | 2,175 | $28K | |
| 93880 | 2.9% | 256 | 249 | $25K | |
| 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 | 2.9% | 462 | 451 | $25K |
| 93224 | 2.7% | 270 | 257 | $23K | |
| 93015 | 2.6% | 368 | 360 | $23K |
26 more codes
| 93970 | 2.4% | 215 | $21K | |
| 99490 | Ccm add 20min | 2.1% | 1,275 | $18K |
| 93925 | 2.0% | 146 | $17K | |
| 99454 | 1.0% | 945 | $9K | |
| 99457 | <1% | 1,014 | $9K | |
| 93978 | <1% | 76 | $7K | |
| 93268 | <1% | 76 | $7K | |
| 93975 | <1% | 60 | $6K | |
| 95924 | <1% | 39 | $4K | |
| 93040 | <1% | 365 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 123 | $2K |
| 36425 | <1% | 181 | $1K | |
| 93922 | <1% | 26 | $420.83 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 186 | $269.14 |
| 93228 | <1% | 24 | $231.25 | |
| 99442 | <1% | 20 | $202.98 | |
| 99453 | <1% | 16 | $63.03 | |
| 75716 | <1% | 13 | $39.38 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 17 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 30 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 27 | $0.00 |
| J1245 | Injection, dipyridamole, per 10 mg | 0% | 87 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 13 | $0.00 |
| 1159F | 0% | 54 | $0.00 | |
| 1160F | 0% | 14 | $0.00 | |
| 75625 | 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 officialALBIZEM, HAYTHAM (OWNER/MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Primary Health LLC | Philadelphia, PA | $533K |
| Pulmonary and Internal Medicine Associates PA | Trenton, NJ | $116K |
| Primary Health NJ | Hamilton, NJ | $55K |
| Hamilton Heart & Vascular Care LLC | Hamilton, NJ | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.