Cardiology Clinical Group
Cardiology Clinical Group was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 39% of everything it billed.
ROCHESTER, NY 14642
Next to other Advanced Heart Failure and Transplant Cardiology Physician providers in New York
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,386 | $133K | |
| 2019 | 13,773 | $192K | |
| 2020 | 17,890 | $264K | |
| 2021 | 22,532 | $386K | |
| 2022 | 21,522 | $377K | |
| 2023 | 22,826 | $430K | |
| 2024incomplete | 17,405 | $229K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 39% | 105,714 | 93,721 | $783K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 38% | 12,621 | 12,528 | $757K |
| 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 | 16% | 3,477 | 3,433 | $326K |
| 93000 | 2.7% | 4,038 | 4,019 | $54K | |
| 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% | 313 | 313 | $43K |
| 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% | 172 | 169 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 117 | 37 | $9K |
| 93298 | <1% | 236 | 234 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 82 | 82 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 39 | 39 | $4K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 42 | 41 | $2K |
| 93016 | <1% | 132 | 131 | $2K |
9 more codes
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.