Managed care
Heart & Rhythm Clinic, a Professional Medical Corporation
Heart & Rhythm Clinic, a Professional Medical Corporation was paid $10K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 93000, — 91% of everything it billed.
33Billing provider infoHEART & RHYTHM CLINIC, A PROFESSIONAL MEDICAL CORPORATION
SAN JOSE, CA 95128
SAN JOSE, CA 95128
33aNPI1679931521assigned 02/08/2016
33bProvider typePreferred Provider Organization
28Total paid$10K
24GClaims3,082
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Preferred Provider Organization providers in California
Rank by total paid#75 of 100
Median peer was paid$80K
This provider vs. median0.1×
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 | 604 | $4K | |
| 2019 | 649 | $3K | |
| 2020 | 273 | $715.56 | |
| 2021 | 351 | $722.05 | |
| 2022 | 451 | $890.75 | |
| 2023 | 406 | $647.93 | |
| 2024incomplete | 348 | $607.52 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93000 | 91% | 1,451 | 1,398 | $9K | |
| 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 | 9.3% | 1,098 | 1,074 | $945.93 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 44 | 43 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | 13 | $0.00 |
| 1036F | 0% | 165 | 163 | $0.00 | |
| 1111F | 0% | 267 | 257 | $0.00 | |
| G8967 | Fda approved oral anticoagulant is prescribed | 0% | 14 | 13 | $0.00 |
| 1101F | 0% | 30 | 30 | $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 officialSHENASA, HOSSEIN (OWNER)