Physician
Cardiovascular Consultants PLLC
Cardiovascular Consultants PLLC was paid $2.36M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 78452, Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress — 23% of everything it billed.
33Billing provider infoCARDIOVASCULAR CONSULTANTS PLLC
HURRICANE, WV 25526
HURRICANE, WV 25526
33aNPI1588658199assigned 09/09/2005
33bProvider typeCardiovascular Disease Physician
28Total paid$2.36M
24GClaims45,135
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in West Virginia
Rank by total paid#3 of 31
Median peer was paid$64K
This provider vs. median37×
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 | 7,450 | $517K | |
| 2019 | 5,180 | $330K | |
| 2020 | 8,137 | $445K | |
| 2021 | 8,241 | $306K | |
| 2022 | 7,449 | $347K | |
| 2023 | 5,877 | $281K | |
| 2024incomplete | 2,801 | $135K |
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 | 23% | 3,930 | 2,894 | $551K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 13% | 3,886 | 3,132 | $314K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 8,682 | 2,335 | $259K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 11% | 2,860 | 2,079 | $249K |
| 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 | 8.0% | 5,011 | 3,790 | $189K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 6,924 | 5,082 | $187K |
| 93015 | 6.4% | 3,285 | 2,311 | $152K | |
| 99222 | Initial hospital care, per day, moderate complexity | 3.9% | 1,553 | 1,274 | $93K |
| 93458 | 3.9% | 487 | 413 | $91K | |
| 93000 | 3.1% | 4,136 | 3,360 | $74K | |
| 93880 | 2.4% | 874 | 701 | $56K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 629 | 546 | $37K |
12 more codes
| J1245 | Injection, dipyridamole, per 10 mg | 1.5% | 1,068 | $34K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 211 | $21K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 104 | $13K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 158 | $13K |
| 93016 | <1% | 222 | $8K | |
| 93018 | <1% | 197 | $7K | |
| 93975 | <1% | 72 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 40 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 21 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 312 | $1K |
| 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% | 456 | $255.94 |
| 93272 | <1% | 17 | $236.08 |
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 officialHAFFAR, M (PARTNER)