Highlands Heart and Vascular LLC
Highlands Heart and Vascular LLC was paid $137K by Medicaid between Jan 2018 and Jul 2019, across 24 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 31% of everything it billed.
PRESTONSBURG, KY 41653
Next to other Internal Medicine Physician providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,040 | $93K | |
| 2019 | 3,108 | $44K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 31% | 1,455 | 1,120 | $43K |
| 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 | 30% | 1,201 | 969 | $42K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 11% | 421 | 350 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10.0% | 908 | 650 | $14K |
| 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 | 4.9% | 128 | 94 | $7K |
| 93016 | 3.9% | 402 | 321 | $5K | |
| 93018 | 3.9% | 454 | 377 | $5K | |
| 93458 | 2.1% | 19 | 12 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 172 | 63 | $3K |
| 99219 | <1% | 20 | 15 | $677.45 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 20 | 12 | $268.78 |
| 93922 | <1% | 16 | 14 | $201.12 |
12 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 588 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 842 | $0.00 |
| 1036F | 0% | 537 | $0.00 | |
| 1111F | 0% | 776 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 436 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 39 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 523 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 670 | $0.00 |
| 4004F | 0% | 868 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 448 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 54 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 151 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Highlands Hospital Corp | Harold, KY | $581K |
| Highlands Hospital Corp | Salyersville, KY | $580K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.