Physician
Heart & Vascular Medical Center PLLC
Heart & Vascular Medical Center PLLC was paid $2.59M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoHEART & VASCULAR MEDICAL CENTER PLLC
BECKLEY, WV 25801
BECKLEY, WV 25801
33aNPI1811371321assigned 07/14/2015
33bProvider typeCardiovascular Disease Physician
28Total paid$2.59M
24GClaims49,525
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in West Virginia
Rank by total paid#2 of 31
Median peer was paid$64K
This provider vs. median40×
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 | 5,152 | $444K | |
| 2019 | 5,142 | $325K | |
| 2020 | 8,157 | $429K | |
| 2021 | 8,245 | $325K | |
| 2022 | 9,417 | $433K | |
| 2023 | 8,453 | $415K | |
| 2024incomplete | 4,959 | $224K |
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 | 18% | 9,480 | 8,065 | $456K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 13% | 4,432 | 3,955 | $328K |
| 93880 | 8.2% | 2,980 | 2,675 | $212K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.9% | 4,715 | 2,146 | $204K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.7% | 4,477 | 1,532 | $200K |
| 93458 | 7.0% | 1,393 | 1,149 | $181K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 6.7% | 1,713 | 1,447 | $174K |
| 99223 | Prolong inpt eval add15 m | 6.4% | 2,182 | 1,929 | $165K |
| 92928 | 3.9% | 483 | 370 | $100K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.0% | 957 | 759 | $77K |
| 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 | 2.7% | 876 | 769 | $70K |
| 99152 | 2.4% | 1,918 | 1,600 | $63K |
23 more codes
| 93000 | 2.0% | 6,271 | $51K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.8% | 754 | $46K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 1,471 | $44K |
| J2785 | Injection, regadenoson, 0.1 mg | 1.6% | 413 | $42K |
| 93308 | 1.2% | 1,780 | $31K | |
| 93229 | 1.1% | 102 | $29K | |
| 99153 | Mod sedat endo service >5yrs | 1.1% | 421 | $29K |
| 93015 | <1% | 959 | $24K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 325 | $22K |
| 93016 | <1% | 569 | $10K | |
| 93018 | <1% | 184 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 86 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 59 | $6K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 71 | $4K |
| 93241 | <1% | 51 | $4K | |
| 93307 | <1% | 139 | $3K | |
| 92978 | <1% | 15 | $2K | |
| 93228 | <1% | 135 | $1K | |
| 78451 | <1% | 24 | $1K | |
| 93224 | <1% | 17 | $676.62 | |
| 93272 | <1% | 17 | $292.91 | |
| 93270 | <1% | 41 | $217.10 | |
| 99406 | <1% | 15 | $98.55 |
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 officialHAMO, ABDRHMAN (PRESIDENT)