Physician
The Heart Group of Lancaster General Health
The Heart Group of Lancaster General Health was paid $789K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 48% of everything it billed.
33Billing provider infoTHE HEART GROUP OF LANCASTER GENERAL HEALTH
LANCASTER, PA 17603
LANCASTER, PA 17603
33aNPI1760793210assigned 06/30/2010
33bProvider typeAdvanced Heart Failure and Transplant Cardiology Physician
28Total paid$789K
24GClaims73,537
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Advanced Heart Failure and Transplant Cardiology Physician providers in Pennsylvania
Rank by total paid#1 of 12
Median peer was paid$9K
This provider vs. median84×
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 | 5,081 | $14K | |
| 2019 | 4,652 | $14K | |
| 2020 | 3,791 | $29K | |
| 2021 | 17,792 | $204K | |
| 2022 | 16,070 | $196K | |
| 2023 | 14,831 | $177K | |
| 2024incomplete | 11,320 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 48% | 59,812 | 52,719 | $380K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 20% | 4,191 | 4,018 | $159K |
| 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% | 2,587 | 2,472 | $109K |
| 93000 | 7.1% | 3,512 | 3,423 | $56K | |
| 93227 | 2.4% | 766 | 720 | $19K | |
| 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 | 2.1% | 211 | 209 | $17K |
| 93296 | 1.7% | 1,121 | 1,085 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 122 | 116 | $8K |
| 93298 | <1% | 261 | 254 | $8K | |
| 93018 | <1% | 385 | 376 | $5K | |
| 93016 | <1% | 198 | 190 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 31 | 30 | $3K |
8 more codes
| 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% | 95 | $3K |
| 93295 | <1% | 67 | $2K | |
| 93244 | <1% | 58 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $455.71 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 44 | $334.80 |
| 93297 | <1% | 12 | $113.95 | |
| 93294 | <1% | 25 | $109.12 | |
| 93325 | <1% | 27 | $74.98 |
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 officialGAYDON, LOUISE (PRACTICE MANAGER)