Heart Care of the Poconos, PC

Heart Care of the Poconos, PC was paid $9K by Medicaid between Nov 2020 and Apr 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoHEART CARE OF THE POCONOS, PC
EAST STROUDSBURG, PA 18301

33aNPI1588874838assigned 05/23/2007

33bProvider typeCardiovascular Disease Physician

28Total paid$9K

24GClaims302

24DCodes billed3

24AFirst – last monthNov 2020 – Apr 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Pennsylvania

Rank by total paid#188 of 592

Median peer was paid$3K

This provider vs. median3.0×

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
2020	27	$748.65
2021	110	$3K
2022	71	$2K
2023	68	$3K
2024incomplete	26	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	60%	230	224	$6K
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	28%	60	59	$3K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	12%	12	12	$1K

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 officialINDZONKA, MARK (PRESIDENT)