Physician
Capital Heartcare Center, P.C.
Capital Heartcare Center, P.C. was paid $277K by Medicaid between Jan 2018 and May 2021, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoCAPITAL HEARTCARE CENTER, P.C.
ANNANDALE, VA 22003
ANNANDALE, VA 22003
33aNPI1801844667assigned 05/04/2006
33bProvider typeFamily Medicine Physician
28Total paid$277K
24GClaims18,940
24DCodes billed45
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Family Medicine Physician providers in Virginia
Rank by total paid#109 of 772
Median peer was paid$13K
This provider vs. median21×
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 | 6,589 | $24K | |
| 2019 | 8,094 | $117K | |
| 2020 | 2,968 | $90K | |
| 2021 | 1,289 | $45K |
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 | 50% | 5,350 | 3,669 | $137K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,405 | 1,080 | $38K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 11% | 865 | 649 | $31K |
| 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 | 4.2% | 129 | 116 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 141 | 133 | $10K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 3.6% | 179 | 111 | $10K |
| 93000 | 2.8% | 2,343 | 1,688 | $8K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.8% | 179 | 114 | $5K |
| 93015 | 1.5% | 311 | 209 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 143 | 131 | $3K |
| 99401 | 1.1% | 150 | 141 | $3K | |
| 0001A | <1% | 52 | 51 | $2K |
33 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 160 | $2K |
| 99443 | <1% | 77 | $2K | |
| 0002A | <1% | 41 | $2K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 22 | $1K |
| 99051 | <1% | 457 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 64 | $1K |
| 99490 | Ccm add 20min | <1% | 188 | $1K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 94 | $831.45 |
| 90688 | <1% | 235 | $800.48 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 63 | $713.38 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 140 | $614.38 |
| 99000 | <1% | 329 | $589.06 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 99 | $395.61 |
| 81002 | <1% | 390 | $363.72 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 95 | $123.59 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $55.77 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 53 | $43.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 59 | $33.35 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 25 | $23.46 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 41 | $0.78 |
| 3017F | 0% | 94 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 713 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 390 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 120 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 727 | $0.00 |
| 1036F | 0% | 21 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 19 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 499 | $0.00 |
| 4040F | 0% | 703 | $0.00 | |
| 3288F | 0% | 701 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 107 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 741 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 213 | $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 officialDO, THIEN (DIRECTOR)