Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Van Nuys › NPI 1609188796
Physician

The Heart Medical Group

The Heart Medical Group was paid $4.03M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 27% of everything it billed.

33Billing provider infoTHE HEART MEDICAL GROUP
VAN NUYS, CA 91406
33aNPI1609188796assigned 07/06/2010
28Total paid$4.03M
24GClaims221,017
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in California

Rank by total paid#19 of 714
Median peer was paid$28K
This provider vs. median142×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201816,889$176K
201940,788$391K
202024,518$365K
202128,133$456K
202236,453$799K
202339,590$938K
2024incomplete34,646$900K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 27% 14,080 14,029 $1.09M
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% 35,005 34,530 $514K
93000 10% 56,006 55,424 $413K
93351 9.9% 3,366 3,360 $401K
99454 5.6% 14,555 14,302 $225K
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 4.8% 9,919 9,737 $195K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.8% 4,019 4,019 $155K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.8% 8,787 8,782 $152K
99457 3.6% 13,978 13,957 $143K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 3.1% 1,462 1,460 $125K
93880 2.4% 1,524 1,523 $96K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2.1% 1,196 1,195 $83K
29 more codes
93325 2.0% 2,884 $80K
93320 2.0% 2,903 $80K
93224 1.7% 1,547 $69K
93015 1.0% 2,053 $42K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,883 $34K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 3,290 $22K
93296 <1% 2,702 $21K
99243 <1% 384 $16K
93294 <1% 774 $10K
93295 <1% 701 $9K
99254 <1% 295 $9K
99458 <1% 999 $8K
99232 Hospital visit by a doctor, follow-up day <1% 455 $8K
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) <1% 494 $7K
93241 <1% 63 $5K
99223 Prolong inpt eval add15 m <1% 52 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 48 $2K
99453 <1% 296 $2K
J2785 Injection, regadenoson, 0.1 mg <1% 132 $2K
93297 <1% 286 $2K
1036F <1% 12,609 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 14,558 $1K
93244 <1% 111 $688.49
93242 <1% 112 $458.69
G9744 Patient not eligible due to active diagnosis of hypertension <1% 6,921 $395.75
1034F <1% 313 $192.14
G8752 Most recent systolic blood pressure < 140 mmhg 0% 79 $0.00
4004F 0% 66 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 110 $0.00

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 officialSHAMJI, MUNAF (PARTNER)