Advanced Cardiac Care, LLC

Advanced Cardiac Care, LLC was paid $15K by Medicaid between Jan 2018 and Jan 2019, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoADVANCED CARDIAC CARE, LLC
JERSEY CITY, NJ 07306

33aNPI1639324940assigned 12/01/2008

33bProvider typeInterventional Cardiology Physician

28Total paid$15K

24GClaims849

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Interventional Cardiology Physician providers in New Jersey

Rank by total paid#17 of 23

Median peer was paid$33K

This provider vs. median0.4×

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	713	$12K
2019	136	$2K

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	40%	179	175	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	24%	217	121	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	78	77	$2K
99222	Initial hospital care, per day, moderate complexity	9.3%	39	38	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	6.1%	111	60	$895.65
93000		5.4%	105	105	$799.74
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	3.0%	120	120	$442.83

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 officialBENZ, MICHAEL (OWNER)