Cardiovascular Medical Specialists LLC

Cardiovascular Medical Specialists LLC was paid $45K by Medicaid between Jan 2018 and Mar 2019, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoCARDIOVASCULAR MEDICAL SPECIALISTS LLC
LOUISVILLE, KY 40207

33aNPI1578085296assigned 07/14/2017

33bProvider typeSurgery Physician

28Total paid$45K

24GClaims3,150

24DCodes billed15

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Surgery Physician providers in Kentucky

Rank by total paid#16 of 34

Median peer was paid$20K

This provider vs. median2.3×

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	2,872	$36K
2019	278	$10K

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	33%	964	681	$15K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	33%	746	515	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	365	277	$6K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.4%	238	70	$3K
99244	Office or other outpatient consultation, moderate to high complexity	5.0%	39	26	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.2%	135	26	$564.60
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	1.2%	38	25	$534.10
99222	Initial hospital care, per day, moderate complexity	1.1%	14	14	$515.31
99223	Prolong inpt eval add15 m	1.1%	32	12	$483.27
99243		<1%	46	33	$438.78
93016		<1%	39	26	$366.60
93018		<1%	39	26	$293.77

3 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	27	$249.42
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	410	$164.35
99152		<1%	18	$116.07

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 officialNEWSOM, PAUL (CHIEF OPERATING OFFICER)

Same official

Other billing entities under NEWSOM, PAUL

Full network →

Provider	Location	Paid
Kentuckiana Medical Center LLC	Clarksville, IN	$224K
Kentuckiana Cardiovascular Specialists PSC	Louisville, KY	$23K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.