Physician
Pacific Heart and Vascular Medical Group
Pacific Heart and Vascular Medical Group was paid $2.11M by Medicaid between Jan 2018 and Apr 2022, across 23 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 49% of everything it billed.
33Billing provider infoPACIFIC HEART AND VASCULAR MEDICAL GROUP
STOCKTON, CA 95210
STOCKTON, CA 95210
33aNPI1649208463assigned 06/29/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$2.11M
24GClaims26,331
24DCodes billed23
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Cardiovascular Disease Physician providers in California
Rank by total paid#47 of 714
Median peer was paid$28K
This provider vs. median74×
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 | 6,303 | $469K | |
| 2019 | 6,221 | $485K | |
| 2020 | 5,230 | $413K | |
| 2021 | 7,207 | $619K | |
| 2022 | 1,370 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 49% | 6,521 | 6,369 | $1.04M |
| 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 | 18% | 8,142 | 7,766 | $373K |
| 93000 | 8.6% | 5,758 | 5,604 | $182K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 8.1% | 647 | 636 | $170K |
| 93015 | 3.5% | 691 | 674 | $74K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 1,617 | 1,578 | $49K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.2% | 247 | 245 | $46K |
| 93880 | 1.9% | 302 | 292 | $41K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 441 | 403 | $31K |
| 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 | 1.3% | 288 | 285 | $27K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 166 | 166 | $20K |
| 99205 | Prolong outpt/office vis | <1% | 143 | 130 | $16K |
11 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 278 | $12K |
| 99223 | Prolong inpt eval add15 m | <1% | 70 | $6K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 397 | $5K |
| 93016 | <1% | 159 | $4K | |
| 93018 | <1% | 159 | $3K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 13 | $3K |
| 99245 | <1% | 14 | $2K | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 218 | $1K |
| 99152 | <1% | 27 | $396.67 | |
| 99406 | <1% | 15 | $218.68 | |
| PNLTY | <1% | 18 | $180.00 |
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 officialBOHNA, KATHERINE (SUPERVISOR)