Physician
Raleigh Cardiology Clinic PLLC
Raleigh Cardiology Clinic PLLC was paid $104K by Medicaid between Jan 2018 and Nov 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoRALEIGH CARDIOLOGY CLINIC PLLC
BECKLEY, WV 25801
BECKLEY, WV 25801
33aNPI1619181161assigned 05/10/2007
33bProvider typeCardiovascular Disease Physician
28Total paid$104K
24GClaims1,951
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Cardiovascular Disease Physician providers in West Virginia
Rank by total paid#13 of 31
Median peer was paid$64K
This provider vs. median1.6×
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 | 930 | $59K | |
| 2019 | 421 | $15K | |
| 2020 | 600 | $29K |
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 | 28% | 1,187 | 1,115 | $29K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 22% | 230 | 213 | $23K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 19% | 109 | 101 | $20K |
| 93015 | 14% | 158 | 146 | $14K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 12% | 109 | 101 | $12K |
| J2785 | Injection, regadenoson, 0.1 mg | 4.3% | 31 | 27 | $4K |
| 93224 | 1.0% | 16 | 16 | $1K | |
| 99441 | <1% | 86 | 74 | $403.51 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 25 | 25 | $152.93 |
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 officialKARAM, JEBRAN (MD)