OLD PUEBLO CARDIOLOGY PC
NPI: 1568643229
· TUCSON, AZ 85712
· Radiology Clinic/Center
· NPI assigned 11/21/2007
$259K
Total Medicaid Paid
Provider Details
| Authorized Official | GOLDBERG, LEE (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 11/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,177 |
$58K |
| 2019 |
600 |
$36K |
| 2020 |
485 |
$29K |
| 2021 |
732 |
$43K |
| 2022 |
705 |
$40K |
| 2023 |
479 |
$32K |
| 2024 |
345 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,824 |
3,669 |
$236K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
299 |
258 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
40 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
25 |
25 |
$3K |
| 93018 |
|
280 |
247 |
$2K |
| 93000 |
|
53 |
52 |
$357.59 |