Hampton Roads Cardiology, PLLC
Hampton Roads Cardiology, PLLC was paid $700K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 78452, Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress — 26% of everything it billed.
33Billing provider infoHAMPTON ROADS CARDIOLOGY, PLLC
HAMPTON, VA 23666
HAMPTON, VA 23666
33aNPI1538343223assigned 12/18/2007
33bProvider typeSpecialist
28Total paid$700K
24GClaims11,905
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#32 of 231
Median peer was paid$47K
This provider vs. median15×
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 | 1,681 | $45K | |
| 2019 | 2,807 | $156K | |
| 2020 | 2,156 | $155K | |
| 2021 | 2,781 | $159K | |
| 2022 | 1,655 | $118K | |
| 2023 | 551 | $46K | |
| 2024incomplete | 274 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 26% | 725 | 673 | $183K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,566 | 3,084 | $118K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 13% | 899 | 851 | $93K |
| 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 | 12% | 982 | 955 | $87K |
| J2785 | Injection, regadenoson, 0.1 mg | 9.9% | 529 | 491 | $69K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 9.8% | 656 | 616 | $69K |
| 93015 | 5.1% | 878 | 811 | $36K | |
| 93000 | 3.8% | 2,934 | 2,664 | $26K | |
| 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 | 2.2% | 325 | 306 | $16K |
| 93297 | <1% | 358 | 340 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 41 | 38 | $62.99 |
| 93295 | <1% | 12 | 12 | $46.69 |
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 officialRIDLEY, DERRICK (PRESIDENT)