Medicaid Provider Spending

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

CAPITAL PEDIATRIC CARDIOLOGY ASSOCIATES INC

NPI: 1508211277 · SACRAMENTO, CA 95816 · Pediatric Cardiology Physician · NPI assigned 04/29/2016

$13.49M
Total Medicaid Paid
160,660
Total Claims
154,089
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMANOHAR, NAVEEN (PRESIDENT/PHYSICIAN)
NPI Enumeration Date04/29/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 20,239 $1.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 36,745 35,053 $5.05M
93320 36,609 34,946 $2.43M
93325 39,209 37,370 $2.36M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,618 9,272 $770K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,952 2,911 $633K
99245 5,787 5,751 $605K
93000 16,273 16,096 $447K
99244 Office or other outpatient consultation, moderate to high complexity 4,893 4,850 $447K
99215 Prolong outpt/office vis 1,854 1,759 $229K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 665 212 $161K
99243 1,532 1,524 $112K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 898 875 $80K
99205 Prolong outpt/office vis 573 562 $67K
Z4306 575 543 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 467 459 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 314 313 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,271 1,192 $13K
76825 213 201 $10K
76827 200 188 $6K
93225 12 12 $470.43