Clinic
Capital Cardiology Associates PLLC
Capital Cardiology Associates PLLC was paid $3.98M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoCAPITAL CARDIOLOGY ASSOCIATES PLLC
ALBANY, NY 12211
ALBANY, NY 12211
33aNPI1518952332assigned 09/19/2005
33bProvider typeCardiac Rehabilitation Clinic/Center
28Total paid$3.98M
24GClaims140,163
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiac Rehabilitation Clinic/Center providers in New York
Rank by total paid#4 of 5
Median peer was paid$13.42M
This provider vs. median0.3×
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 | 10,754 | $298K | |
| 2019 | 13,044 | $341K | |
| 2020 | 17,009 | $497K | |
| 2021 | 23,019 | $706K | |
| 2022 | 26,142 | $789K | |
| 2023 | 28,471 | $819K | |
| 2024incomplete | 21,724 | $527K |
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 | 44% | 23,106 | 22,584 | $1.77M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 19% | 6,675 | 6,648 | $736K |
| 93000 | 8.0% | 30,292 | 29,629 | $316K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.3% | 49,687 | 41,545 | $291K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 1,648 | 1,602 | $167K |
| 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 | 3.1% | 3,997 | 3,928 | $124K |
| 93299 | 2.2% | 1,279 | 1,266 | $89K | |
| 93298 | 2.0% | 4,731 | 4,650 | $79K | |
| 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 | 1.9% | 676 | 674 | $74K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 748 | 736 | $71K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 1,803 | 1,074 | $68K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 976 | 966 | $57K |
30 more codes
| 93015 | <1% | 740 | $35K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 3,799 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 216 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 351 | $11K |
| 93040 | <1% | 1,526 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 64 | $8K |
| 83880 | <1% | 317 | $8K | |
| 93296 | <1% | 567 | $5K | |
| 99426 | <1% | 126 | $4K | |
| 80061 | Lipid panel | <1% | 513 | $4K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $3K |
| 93458 | <1% | 12 | $2K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 13 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 161 | $2K |
| 93880 | <1% | 16 | $2K | |
| 80050 | General health panel | <1% | 68 | $2K |
| 93297 | <1% | 129 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 165 | $1K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $1K |
| 93295 | <1% | 40 | $995.78 | |
| 84439 | <1% | 147 | $946.09 | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 13 | $555.32 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 74 | $498.84 |
| 84484 | <1% | 165 | $415.23 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,859 | $405.34 |
| 99152 | <1% | 52 | $376.83 | |
| 93294 | <1% | 25 | $359.42 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 67 | $275.18 |
| 94760 | <1% | 2,283 | $162.89 | |
| 75571 | <1% | 12 | $150.00 |
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 officialDELAGO, AUGUSTIN (CEO/PRESIDENT)