Wayne Heart & Internal Medicine Associates PA

Wayne Heart & Internal Medicine Associates PA was paid $344K by Medicaid between Jan 2018 and Sep 2023, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoWAYNE HEART & INTERNAL MEDICINE ASSOCIATES PA
GOLDSBORO, NC 27534

33aNPI1851316640assigned 07/13/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$344K

24GClaims18,234

24DCodes billed22

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Cardiovascular Disease Physician providers in North Carolina

Rank by total paid#23 of 109

Median peer was paid$58K

This provider vs. median5.9×

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	4,280	$62K
2019	3,012	$69K
2020	2,860	$76K
2021	3,230	$68K
2022	3,712	$65K
2023	1,140	$3K

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	60%	7,311	4,566	$206K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	3,149	1,876	$54K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	14%	1,546	991	$47K
99199	Unlisted special service, procedure or report	4.1%	3,585	3,525	$14K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.5%	195	113	$9K
93000		1.4%	793	541	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	150	28	$2K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	170	109	$2K
80061	Lipid panel	<1%	155	128	$956.16
93016		<1%	203	126	$846.79
93018		<1%	206	126	$634.23
99223	Prolong inpt eval add15 m	<1%	65	29	$583.50

10 more codes

36415	Collection of venous blood by venipuncture	<1%	330	$448.34
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	42	$375.33
90756		<1%	55	$341.30
71046	Radiologic examination, chest; 2 views	<1%	33	$264.59
93296		<1%	76	$226.69
90674		<1%	46	$210.40
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	48	$136.17
90686		<1%	31	$106.44
93294		<1%	23	$101.60
97802		0%	22	$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 officialGUPTA, JAGMOHAN (PRESIDENT)