Biltmore Cardiology, PLLC
Biltmore Cardiology, PLLC was paid $490K by Medicaid between Jan 2018 and Apr 2019, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoBILTMORE CARDIOLOGY, PLLC
PHOENIX, AZ 85018
PHOENIX, AZ 85018
33aNPI1841234606assigned 06/15/2006
33bProvider typeSpecialist
28Total paid$490K
24GClaims13,717
24DCodes billed19
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Specialist providers in Arizona
Rank by total paid#57 of 179
Median peer was paid$112K
This provider vs. median4.4×
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 | 10,691 | $370K | |
| 2019 | 3,026 | $120K |
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 | 33% | 4,250 | 3,714 | $163K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 30% | 4,627 | 1,742 | $149K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 13% | 846 | 778 | $65K |
| 99223 | Prolong inpt eval add15 m | 6.6% | 346 | 322 | $32K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 5.0% | 322 | 271 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 514 | 438 | $18K |
| 93000 | 3.0% | 1,837 | 1,687 | $15K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 121 | 100 | $6K |
| 93295 | <1% | 196 | 177 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 58 | 25 | $3K |
| 93296 | <1% | 232 | 207 | $2K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 53 | 42 | $2K |
7 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.
From NPPES
Who's on the registration
Authorized officialMAKI, PETER (PARTNER)