Physician
Pediatric Cardiology Associates
Pediatric Cardiology Associates was paid $1.52M by Medicaid between Jan 2018 and Feb 2020, across 13 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 28% of everything it billed.
33Billing provider infoPEDIATRIC CARDIOLOGY ASSOCIATES
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
33aNPI1487781449assigned 02/27/2007
33bProvider typePediatric Cardiology Physician
28Total paid$1.52M
24GClaims32,026
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatric Cardiology Physician providers in Kentucky
Rank by total paid#2 of 11
Median peer was paid$4K
This provider vs. median340×
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 | 14,402 | $687K | |
| 2019 | 14,533 | $667K | |
| 2020 | 3,091 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 28% | 4,494 | 4,335 | $432K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 23% | 2,817 | 2,749 | $352K |
| 93320 | 11% | 4,484 | 4,326 | $173K | |
| 93325 | 11% | 6,347 | 5,872 | $161K | |
| 93000 | 8.3% | 6,266 | 6,045 | $127K | |
| 99243 | 6.8% | 1,186 | 1,162 | $102K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.5% | 298 | 295 | $38K |
| 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 | 2.3% | 582 | 556 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 814 | 787 | $32K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.9% | 3,384 | 2,785 | $29K |
| 93227 | 1.8% | 815 | 787 | $27K | |
| 93304 | <1% | 125 | 102 | $5K |
1 more codes
| 93321 | <1% | 414 | $4K |
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 officialSOBCZYK, WALTER (PRESIDENT)