Pacific Cardiovascular Associates Medical Group, INC.
Pacific Cardiovascular Associates Medical Group, INC. was paid $8.08M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 27% of everything it billed.
33Billing provider infoPACIFIC CARDIOVASCULAR ASSOCIATES MEDICAL GROUP, INC.
COSTA MESA, CA 92626
COSTA MESA, CA 92626
33aNPI1700821691assigned 06/17/2006
33bProvider typeLegal Medicine
28Total paid$8.08M
24GClaims113,354
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Legal Medicine providers in California
Rank by total paid#1 of 39
Median peer was paid$17K
This provider vs. median465×
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 | 7,164 | $352K | |
| 2019 | 4,645 | $251K | |
| 2020 | 7,260 | $368K | |
| 2021 | 14,514 | $1.84M | |
| 2022 | 19,577 | $2.21M | |
| 2023 | 29,780 | $1.87M | |
| 2024incomplete | 30,414 | $1.19M |
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 | 27% | 14,250 | 13,940 | $2.19M |
| 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 | 14% | 16,935 | 16,597 | $1.12M |
| 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 | 12% | 9,069 | 8,902 | $954K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 6.6% | 5,856 | 5,445 | $536K |
| 93000 | 6.0% | 22,675 | 22,481 | $481K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 2,733 | 2,713 | $381K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 4.7% | 585 | 580 | $377K |
| 93320 | 3.5% | 6,326 | 5,852 | $282K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.4% | 2,287 | 851 | $278K |
| 93015 | 2.6% | 1,979 | 1,962 | $214K | |
| J2785 | Injection, regadenoson, 0.1 mg | 2.1% | 520 | 519 | $166K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.9% | 15,838 | 14,489 | $152K |
27 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.8% | 388 | $145K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.6% | 582 | $131K |
| 93325 | 1.6% | 6,987 | $126K | |
| 93224 | 1.4% | 778 | $114K | |
| 99243 | 1.1% | 349 | $92K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 977 | $77K |
| 93970 | <1% | 500 | $76K | |
| 99255 | <1% | 238 | $73K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 652 | $44K |
| 93351 | <1% | 90 | $19K | |
| 99254 | <1% | 41 | $10K | |
| 93793 | <1% | 1,638 | $7K | |
| 93280 | <1% | 148 | $6K | |
| 93971 | <1% | 48 | $5K | |
| 93304 | <1% | 130 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 46 | $3K |
| 93296 | <1% | 207 | $3K | |
| 93321 | <1% | 163 | $2K | |
| 93880 | <1% | 12 | $2K | |
| 93282 | <1% | 45 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 94 | $2K |
| 93295 | <1% | 69 | $1K | |
| 93298 | <1% | 27 | $676.14 | |
| 93284 | <1% | 14 | $441.98 | |
| 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 | <1% | 27 | $422.36 |
| 93248 | <1% | 30 | $407.85 | |
| 93246 | <1% | 21 | $170.35 |
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 officialRUGGIO, JOSEPH (PRESIDENT, C.E.O.)