Physician
Cardiology Associates of Derby PC
Cardiology Associates of Derby PC was paid $214K by Medicaid between Jan 2018 and May 2021, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.
33Billing provider infoCARDIOLOGY ASSOCIATES OF DERBY PC
DERBY, CT 06418
DERBY, CT 06418
33aNPI1851361844assigned 01/24/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$214K
24GClaims5,759
24DCodes billed13
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Cardiovascular Disease Physician providers in Connecticut
Rank by total paid#13 of 48
Median peer was paid$37K
This provider vs. median5.7×
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 | 2,374 | $78K | |
| 2019 | 1,782 | $70K | |
| 2020 | 1,293 | $52K | |
| 2021 | 310 | $14K |
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 | 79% | 2,969 | 2,655 | $169K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.4% | 149 | 126 | $16K |
| 93000 | 6.9% | 1,515 | 1,421 | $15K | |
| 99205 | Prolong outpt/office vis | 1.9% | 29 | 27 | $4K |
| 99223 | Prolong inpt eval add15 m | 1.4% | 61 | 53 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 148 | 70 | $3K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.1% | 19 | 16 | $2K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 18 | 15 | $2K |
| 94760 | <1% | 621 | 564 | $909.68 | |
| 93015 | <1% | 18 | 15 | $565.32 | |
| 1036F | 0% | 102 | 98 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 26 | 26 | $0.00 |
1 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 84 | $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 officialSCHWARTZ, KENNETH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kenneth D Schwartz DDS PC | Schenectady, NY | $17K |
| Brookhaven Memorial Hospital Medical Center | Patchogue, NY | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.