Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Midwest Heart Institute

Midwest Heart Institute was paid $153K by Medicaid between Jan 2019 and Nov 2023, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoMIDWEST HEART INSTITUTE
FESTUS, MO 63028
33aNPI1689128019assigned 08/15/2016
28Total paid$153K
24GClaims5,556
24DCodes billed17
24AFirst – last monthJan 2019 – Nov 2023
Compared with peers

Next to other Cardiovascular Disease Physician providers in Missouri

Rank by total paid#14 of 150
Median peer was paid$4K
This provider vs. median35×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2019754$9K
2020795$20K
20211,090$30K
20221,345$39K
20231,572$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 51% 2,027 1,900 $78K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24% 498 470 $37K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 18% 729 690 $27K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.1% 76 76 $3K
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 1.2% 16 16 $2K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.1% 26 25 $2K
93297 <1% 119 115 $1K
93925 <1% 12 12 $852.39
93924 <1% 14 12 $740.76
93299 <1% 17 17 $615.02
93298 <1% 76 76 $598.00
93000 <1% 31 27 $271.29
5 more codes
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 263 $0.00
1036F 0% 743 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 173 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 606 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 130 $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 officialBOUHASIN, ANDRE (OWNER)