Central Georgia Heart Institue, LLC

Central Georgia Heart Institue, LLC was paid $543K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoCENTRAL GEORGIA HEART INSTITUE, LLC
WARNER ROBINS, GA 31093

33aNPI1659313153assigned 06/11/2006

33bProvider typeInternal Medicine Physician

28Total paid$543K

24GClaims20,838

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Georgia

Rank by total paid#13 of 124

Median peer was paid$11K

This provider vs. median49×

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	3,121	$94K
2019	3,308	$96K
2020	2,980	$87K
2021	2,384	$76K
2022	3,020	$64K
2023	3,432	$73K
2024incomplete	2,593	$53K

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	37%	5,179	4,399	$202K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	23%	2,135	1,959	$125K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	2,868	2,387	$81K
93000		7.2%	4,553	4,023	$39K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.6%	704	249	$19K
93015		3.3%	521	480	$18K
J2785	Injection, regadenoson, 0.1 mg	2.4%	173	159	$13K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	2.4%	253	232	$13K
A9505	Thallium tl-201 thallous chloride, diagnostic, per millicurie	2.0%	176	163	$11K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.6%	159	86	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	100	79	$4K
99222	Initial hospital care, per day, moderate complexity	<1%	54	51	$2K

18 more codes

A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	<1%	43	$2K
99223	Prolong inpt eval add15 m	<1%	17	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	26	$1K
94375		<1%	88	$923.85
3078F		<1%	229	$0.27
3079F		<1%	184	$0.20
3074F		<1%	170	$0.11
3008F		<1%	616	$0.07
3075F		<1%	81	$0.02
3077F		<1%	13	$0.01
G8752	Most recent systolic blood pressure < 140 mmhg	0%	142	$0.00
4013F		0%	270	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	150	$0.00
1101F		0%	683	$0.00
1036F		0%	1,137	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	29	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	15	$0.00
2000F		0%	70	$0.00

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 officialSANDERS, MISTY (OFFICE MANGER)