Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE HEART MEDICAL GROUP

NPI: 1609188796 · VAN NUYS, CA 91406 · Cardiovascular Disease Physician · NPI assigned 07/06/2010

$4.03M
Total Medicaid Paid
221,017
Total Claims
216,909
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAMJI, MUNAF (PARTNER)
NPI Enumeration Date07/06/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,889 $176K
2019 40,788 $391K
2020 24,518 $365K
2021 28,133 $456K
2022 36,453 $799K
2023 39,590 $938K
2024 34,646 $900K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,080 14,029 $1.09M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,005 34,530 $514K
93000 56,006 55,424 $413K
93351 3,366 3,360 $401K
99454 14,555 14,302 $225K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,919 9,737 $195K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,019 4,019 $155K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,787 8,782 $152K
99457 13,978 13,957 $143K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,462 1,460 $125K
93880 1,524 1,523 $96K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,196 1,195 $83K
93325 2,884 2,878 $80K
93320 2,903 2,897 $80K
93224 1,547 1,544 $69K
93015 2,053 2,051 $42K
99233 Prolong inpt eval add15 m 1,883 775 $34K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,290 2,707 $22K
93296 2,702 2,694 $21K
99243 384 384 $16K
93294 774 773 $10K
93295 701 700 $9K
99254 295 288 $9K
99458 999 999 $8K
99232 Subsequent hospital care, per day, moderate complexity 455 174 $8K
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 494 494 $7K
93241 63 63 $5K
99223 Prolong inpt eval add15 m 52 51 $3K
99244 Office or other outpatient consultation, moderate to high complexity 48 48 $2K
99453 296 296 $2K
J2785 Injection, regadenoson, 0.1 mg 132 131 $2K
93297 286 281 $2K
1036F 12,609 12,422 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14,558 14,317 $1K
93244 111 111 $688.49
93242 112 112 $458.69
G9744 Patient not eligible due to active diagnosis of hypertension 6,921 6,835 $395.75
1034F 313 313 $192.14
G8752 Most recent systolic blood pressure < 140 mmhg 79 78 $0.00
4004F 66 65 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 110 110 $0.00