Physician
Coastal Heart, INC
Coastal Heart, INC was paid $1.12M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoCOASTAL HEART, INC
SANTA ANA, CA 92704
SANTA ANA, CA 92704
33aNPI1881612828assigned 07/17/2006
33bProvider typeClinical Cardiac Electrophysiology Physician
28Total paid$1.12M
24GClaims24,846
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Cardiac Electrophysiology Physician providers in California
Rank by total paid#10 of 55
Median peer was paid$44K
This provider vs. median25×
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 | 4,686 | $133K | |
| 2019 | 1,308 | $60K | |
| 2020 | 1,533 | $54K | |
| 2021 | 2,091 | $66K | |
| 2022 | 2,397 | $55K | |
| 2023 | 4,838 | $197K | |
| 2024incomplete | 7,993 | $557K |
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 | 37% | 9,908 | 9,045 | $411K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 28% | 1,791 | 1,773 | $319K |
| 93000 | 5.2% | 2,149 | 2,105 | $58K | |
| 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 | 4.6% | 554 | 551 | $51K |
| 99454 | 4.1% | 1,179 | 1,178 | $46K | |
| 93970 | 2.9% | 241 | 232 | $33K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 2.5% | 2,107 | 1,960 | $28K |
| 93015 | 1.9% | 224 | 217 | $21K | |
| 99457 | 1.6% | 991 | 982 | $18K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.5% | 1,203 | 1,155 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 570 | 533 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.2% | 964 | 299 | $13K |
21 more codes
| 93925 | 1.0% | 186 | $12K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 39 | $11K |
| 93229 | <1% | 12 | $9K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 205 | $9K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 985 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 53 | $7K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 275 | $6K |
| 99223 | Prolong inpt eval add15 m | <1% | 266 | $6K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 42 | $4K |
| 93224 | <1% | 27 | $4K | |
| 99458 | <1% | 139 | $3K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 62 | $3K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 465 | $3K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 14 | $3K |
| 93971 | <1% | 14 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $777.92 |
| 93228 | <1% | 24 | $706.39 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 47 | $669.76 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | $610.71 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | $503.38 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 42 | $393.12 |
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 officialHERNANDEZ, REBECA (ADMINISTRATOR)