Physician
Five Towns Heart Imaging Medical P.C.
Five Towns Heart Imaging Medical P.C. was paid $4.41M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 78431, — 29% of everything it billed.
33Billing provider infoFIVE TOWNS HEART IMAGING MEDICAL P.C.
CEDARHURST, NY 11516
CEDARHURST, NY 11516
33aNPI1609907005assigned 03/08/2007
33bProvider typeCardiovascular Disease Physician
28Total paid$4.41M
24GClaims25,022
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in New York
Rank by total paid#16 of 1,564
Median peer was paid$13K
This provider vs. median339×
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 | 2,132 | $270K | |
| 2019 | 3,340 | $411K | |
| 2020 | 4,584 | $575K | |
| 2021 | 1,325 | $129K | |
| 2022 | 2,094 | $217K | |
| 2023 | 4,458 | $1.06M | |
| 2024incomplete | 7,089 | $1.75M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 78431 | 29% | 893 | 893 | $1.26M | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 17% | 4,115 | 4,110 | $729K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 16% | 876 | 876 | $704K |
| 93880 | 9.5% | 2,734 | 2,728 | $419K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.1% | 2,560 | 2,557 | $226K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 3,603 | 3,482 | $221K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 4.8% | 683 | 683 | $211K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.9% | 684 | 683 | $129K |
| 93015 | 2.8% | 1,942 | 1,933 | $125K | |
| J2785 | Injection, regadenoson, 0.1 mg | 1.8% | 983 | 976 | $81K |
| 93925 | 1.7% | 464 | 460 | $74K | |
| 93000 | 1.3% | 4,182 | 4,145 | $57K |
11 more codes
| 93975 | 1.2% | 192 | $55K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.2% | 429 | $52K |
| 93978 | <1% | 144 | $22K | |
| 93970 | <1% | 106 | $16K | |
| 93979 | <1% | 151 | $14K | |
| 76536 | <1% | 37 | $5K | |
| 93976 | <1% | 13 | $2K | |
| J0280 | Injection, aminophyllin, up to 250 mg | <1% | 188 | $2K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $1K |
| 99406 | <1% | 17 | $159.72 |
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 officialSOKOL, SERGIO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Sergio Sokol M.D.,F.A.C.C.,P.C. | Cedarhurst, NY | $997K |
| All Borough Medical Solution PC | Long Island City, NY | $153K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.