Southern California Heart Specialists

Southern California Heart Specialists was paid $404K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 43% of everything it billed.

33Billing provider infoSOUTHERN CALIFORNIA HEART SPECIALISTS
PASADENA, CA 91105

33aNPI1821055054assigned 05/01/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$404K

24GClaims25,928

24DCodes billed21

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in California

Rank by total paid#137 of 714

Median peer was paid$28K

This provider vs. median14×

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	3,346	$23K
2019	5,823	$75K
2020	2,779	$58K
2021	2,344	$62K
2022	3,204	$57K
2023	3,142	$68K
2024incomplete	5,290	$61K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	43%	4,039	3,961	$175K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	21%	10,904	9,366	$83K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	11%	2,032	705	$45K
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	7.5%	1,835	1,769	$30K
99223	Prolong inpt eval add15 m	6.1%	495	481	$25K
99454		6.0%	1,622	1,619	$24K
93000		2.0%	1,551	1,493	$8K
99457		1.8%	1,455	1,453	$7K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	14	14	$2K
93294		<1%	145	143	$2K
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%	42	42	$1K
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	29	28	$0.00

9 more codes

G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	305	$0.00
G8598	Aspirin or another antiplatelet therapy used	0%	170	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	273	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	13	$0.00
1111F		0%	306	$0.00
1036F		0%	236	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	272	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	169	$0.00
G8967	Fda approved oral anticoagulant is prescribed	0%	21	$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 officialBIGGLES, TRACY (BUSINESS OFFICE MANAGER)

Same official

Other billing entities under BIGGLES, TRACY

Full network →

Provider	Location	Paid
Southern California Heart Specialists	Arcadia, CA	$3K
W Allan Edmiston MD a Medical Corporation	Pasadena, CA	$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.