Gulf Coast Cardiology Group PLLC
Gulf Coast Cardiology Group PLLC was paid $763K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoGULF COAST CARDIOLOGY GROUP PLLC
PORT ARTHUR, TX 77642
PORT ARTHUR, TX 77642
33aNPI1801893284assigned 06/30/2005
33bProvider typeSpecialist
28Total paid$763K
24GClaims25,207
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#52 of 382
Median peer was paid$29K
This provider vs. median26×
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 | 1,273 | $5K | |
| 2019 | 2,068 | $44K | |
| 2020 | 2,507 | $42K | |
| 2021 | 5,853 | $168K | |
| 2022 | 5,716 | $199K | |
| 2023 | 4,785 | $198K | |
| 2024incomplete | 3,005 | $107K |
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 | 28% | 9,393 | 6,924 | $217K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 25% | 2,102 | 1,979 | $193K |
| 93880 | 7.5% | 723 | 686 | $57K | |
| 93970 | 4.9% | 811 | 746 | $38K | |
| 99444 | 4.9% | 654 | 208 | $37K | |
| 93000 | 3.3% | 3,289 | 3,117 | $25K | |
| J2785 | Injection, regadenoson, 0.1 mg | 3.0% | 228 | 211 | $23K |
| 93015 | 2.7% | 638 | 593 | $21K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.4% | 418 | 308 | $18K |
| 93224 | 2.0% | 358 | 342 | $15K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 785 | 642 | $15K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.9% | 42 | 41 | $15K |
19 more codes
| 95923 | 1.8% | 316 | $14K | |
| 99423 | 1.7% | 226 | $13K | |
| 99091 | 1.7% | 76 | $13K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.1% | 43 | $8K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 3,192 | $8K |
| 99407 | <1% | 346 | $7K | |
| 95921 | <1% | 120 | $6K | |
| 93268 | <1% | 41 | $5K | |
| 95943 | <1% | 119 | $4K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 12 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $2K |
| 95999 | <1% | 30 | $1K | |
| 93040 | <1% | 101 | $678.73 | |
| 93227 | <1% | 55 | $654.94 | |
| 93225 | <1% | 50 | $568.56 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 54 | $563.95 |
| 93226 | <1% | 29 | $555.41 | |
| 93042 | <1% | 201 | $121.96 | |
| 99072 | <1% | 742 | $72.00 |
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 officialMORBIA, PRADIP (OWNER PHYSICIAN)