BMC Specialty Physicians LLC

BMC Specialty Physicians LLC was paid $327K by Medicaid between May 2018 and Dec 2024, across 17 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 22% of everything it billed.

33Billing provider infoBMC SPECIALTY PHYSICIANS LLC
BRISTOL, PA 19007

33aNPI1700125093assigned 02/06/2013

33bProvider typeCardiovascular Disease Physician

28Total paid$327K

24GClaims17,408

24DCodes billed17

24AFirst – last monthMay 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Pennsylvania

Rank by total paid#18 of 592

Median peer was paid$3K

This provider vs. median104×

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	61	$55.76
2020	167	$2K
2021	816	$14K
2022	4,501	$74K
2023	6,326	$122K
2024incomplete	5,537	$115K

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	22%	1,899	1,825	$73K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	21%	11,153	8,542	$70K
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	17%	899	860	$56K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	1,338	644	$46K
99222	Initial hospital care, per day, moderate complexity	12%	653	599	$38K
93000		3.7%	843	814	$12K
99223	Prolong inpt eval add15 m	3.2%	110	98	$10K
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	2.6%	75	70	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	112	104	$6K
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%	26	25	$2K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	23	23	$1K
70450	Computed tomography, head or brain; without contrast material	<1%	34	34	$1K

5 more codes

71045	Radiologic examination, chest; single view	<1%	139	$961.19
71046	Radiologic examination, chest; 2 views	<1%	15	$137.13
3008F		0%	19	$0.00
99072		0%	49	$0.00
1160F		0%	21	$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 officialSMITH, KATHY (FINANCIAL ANALYST)

Same official

Other billing entities under SMITH, KATHY

Full network →

Provider	Location	Paid
Extra Hands Incorporated	Cape Girardeau, MO	$5.45M
BMC Primary Care Physicians LLC	Fairless Hills, PA	$58K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.