Physician
Capital Pediatric Cardiology Associates INC
Capital Pediatric Cardiology Associates INC was paid $13.49M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 37% of everything it billed.
33Billing provider infoCAPITAL PEDIATRIC CARDIOLOGY ASSOCIATES INC
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
33aNPI1508211277assigned 04/29/2016
33bProvider typePediatric Cardiology Physician
28Total paid$13.49M
24GClaims160,660
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in California
Rank by total paid#2 of 45
Median peer was paid$120K
This provider vs. median112×
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 | 14,579 | $1.36M | |
| 2019 | 24,925 | $2.08M | |
| 2020 | 24,796 | $2.08M | |
| 2021 | 27,721 | $2.27M | |
| 2022 | 23,972 | $1.88M | |
| 2023 | 24,428 | $1.86M | |
| 2024incomplete | 20,239 | $1.95M |
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 | 37% | 36,745 | 35,053 | $5.05M |
| 93320 | 18% | 36,609 | 34,946 | $2.43M | |
| 93325 | 18% | 39,209 | 37,370 | $2.36M | |
| 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 | 5.7% | 9,618 | 9,272 | $770K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.7% | 2,952 | 2,911 | $633K |
| 99245 | 4.5% | 5,787 | 5,751 | $605K | |
| 93000 | 3.3% | 16,273 | 16,096 | $447K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.3% | 4,893 | 4,850 | $447K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 1,854 | 1,759 | $229K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 665 | 212 | $161K |
| 99243 | <1% | 1,532 | 1,524 | $112K | |
| 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% | 898 | 875 | $80K |
8 more codes
| 99205 | Prolong outpt/office vis | <1% | 573 | $67K |
| Z4306 | <1% | 575 | $29K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 467 | $25K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 314 | $16K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,271 | $13K |
| 76825 | <1% | 213 | $10K | |
| 76827 | <1% | 200 | $6K | |
| 93225 | <1% | 12 | $470.43 |
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 officialMANOHAR, NAVEEN (PRESIDENT/PHYSICIAN)