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

South Mountain Cardiology

South Mountain Cardiology was paid $3.49M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 93229, — 22% of everything it billed.

33Billing provider infoSOUTH MOUNTAIN CARDIOLOGY
PHOENIX, AZ 85042
33aNPI1730440538assigned 06/07/2012
28Total paid$3.49M
24GClaims40,709
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Arizona

Rank by total paid#3 of 98
Median peer was paid$37K
This provider vs. median94×

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$50K$100K2018201920202021202220232024
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
20185,808$460K
20194,785$370K
20204,751$334K
20216,454$569K
20227,174$639K
20236,788$668K
2024incomplete4,949$452K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93229 22% 1,012 947 $767K
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 20% 14,231 12,778 $707K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 20% 5,752 5,369 $693K
93925 8.3% 2,414 2,205 $292K
99244 Office or other outpatient consultation, moderate to high complexity 6.5% 1,581 1,541 $227K
93880 6.4% 2,436 2,242 $224K
93923 4.7% 2,262 2,189 $164K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 1,367 1,285 $48K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.3% 194 190 $47K
99454 1.2% 1,024 1,004 $42K
93924 1.1% 634 477 $39K
99457 1.1% 1,267 1,255 $39K
21 more codes
93000 1.1% 3,399 $37K
99245 <1% 171 $33K
93978 <1% 398 $30K
93228 <1% 1,010 $19K
99215 Doctor's office visit, returning patient (complex) <1% 220 $16K
J2785 Injection, regadenoson, 0.1 mg <1% 141 $16K
99204 Doctor's office visit, new patient (more involved) <1% 281 $11K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 107 $11K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 85 $8K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 188 $8K
99205 Prolong outpt/office vis <1% 89 $7K
93268 <1% 37 $4K
93297 <1% 165 $3K
93015 <1% 14 $945.48
99306 Prolong nursin fac eval 15m <1% 16 $832.94
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 16 $366.35
99453 <1% 15 $177.60
93296 <1% 14 $146.50
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 141 $96.53
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 14 $47.63
99406 <1% 14 $11.26

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 officialHUSAIN, NADEEM (PROPRIETOR)