Physician
Cross River Cardiology PLLC
Cross River Cardiology PLLC was paid $405K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoCROSS RIVER CARDIOLOGY PLLC
LENOIR, NC 28645
LENOIR, NC 28645
33aNPI1578975462assigned 05/27/2014
33bProvider typeCardiovascular Disease Physician
28Total paid$405K
24GClaims13,522
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in North Carolina
Rank by total paid#22 of 109
Median peer was paid$58K
This provider vs. median6.9×
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 | 1,900 | $36K | |
| 2019 | 1,800 | $47K | |
| 2020 | 1,793 | $47K | |
| 2021 | 1,967 | $61K | |
| 2022 | 2,064 | $67K | |
| 2023 | 2,168 | $83K | |
| 2024incomplete | 1,830 | $66K |
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 | 37% | 4,127 | 2,979 | $151K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 31% | 2,779 | 2,013 | $128K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,998 | 1,479 | $48K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 4.3% | 416 | 273 | $17K |
| 93000 | 3.9% | 2,131 | 1,690 | $16K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.6% | 372 | 188 | $14K |
| 99223 | Prolong inpt eval add15 m | 2.3% | 161 | 115 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 186 | 165 | $9K |
| 99490 | Ccm add 20min | <1% | 531 | 509 | $4K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 32 | 25 | $3K |
| 93015 | <1% | 81 | 64 | $2K | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 282 | 264 | $2K |
6 more codes
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 officialGETTY, CHRISTINE (OFFICE MANAGER)