Heart Center of Metrowest INC

Heart Center of Metrowest INC was paid $364K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoHEART CENTER OF METROWEST INC
FRAMINGHAM, MA 01702

33aNPI1598756132assigned 11/02/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$364K

24GClaims37,052

24DCodes billed19

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Massachusetts

Rank by total paid#8 of 321

Median peer was paid$2K

This provider vs. median222×

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	6,843	$55K
2019	6,684	$55K
2020	5,470	$59K
2021	6,199	$69K
2022	5,198	$56K
2023	4,070	$43K
2024incomplete	2,588	$27K

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	27%	3,094	2,997	$97K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	26%	2,057	2,022	$95K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	22%	21,469	20,175	$79K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	11%	969	884	$41K
93000		11%	7,672	7,428	$40K
93296		1.1%	715	713	$4K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results	<1%	148	147	$3K
93298		<1%	173	171	$2K
93294		<1%	158	158	$906.27
85610		<1%	244	128	$470.02
99443		<1%	29	29	$358.10
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	20	12	$307.79

7 more codes

93299		<1%	13	$294.77
93280		<1%	43	$290.26
ATP03		<1%	110	$212.35
99213	Doctor's office visit, returning patient (routine)	<1%	13	$163.12
80061	Lipid panel	<1%	82	$162.77
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	30	$161.18
99152		<1%	13	$10.20

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 officialSUSSMAN, HOWARD (BOARD MEMBER)