Capital Cardiology PC
Capital Cardiology PC was paid $200K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoCAPITAL CARDIOLOGY PC
LANSING, MI 48912
LANSING, MI 48912
33aNPI1710183660assigned 06/26/2007
33bProvider typeSpecialist
28Total paid$200K
24GClaims9,566
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#72 of 181
Median peer was paid$94K
This provider vs. median2.1×
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 | 2,148 | $32K | |
| 2019 | 1,691 | $27K | |
| 2020 | 1,522 | $22K | |
| 2021 | 1,449 | $27K | |
| 2022 | 1,116 | $32K | |
| 2023 | 873 | $31K | |
| 2024incomplete | 767 | $28K |
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 | 63% | 2,272 | 2,170 | $126K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 659 | 647 | $24K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 11% | 361 | 354 | $21K |
| 93000 | 6.0% | 1,727 | 1,681 | $12K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 2.5% | 43 | 43 | $5K |
| 99454 | 1.7% | 166 | 159 | $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% | 27 | 26 | $2K |
| 99457 | 1.0% | 115 | 115 | $2K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 13 | 13 | $1K |
| 93015 | <1% | 30 | 30 | $991.70 | |
| 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% | 13 | 13 | $696.45 |
| 99443 | <1% | 22 | 22 | $474.18 |
13 more codes
| 93016 | <1% | 12 | $137.28 | |
| 99453 | <1% | 20 | $99.49 | |
| 99406 | <1% | 12 | $98.19 | |
| 93018 | <1% | 12 | $91.52 | |
| 3074F | 0% | 1,035 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 146 | $0.00 |
| 3079F | 0% | 371 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 70 | $0.00 |
| 3075F | 0% | 39 | $0.00 | |
| 3078F | 0% | 873 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,424 | $0.00 |
| 3077F | 0% | 45 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 59 | $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 officialKARVE, MILIND (PRESIDENT-CEO)