Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carolina Heart Specialists LLC

Carolina Heart Specialists LLC was paid $990K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoCAROLINA HEART SPECIALISTS LLC
LANCASTER, SC 29720
33aNPI1881802841assigned 05/21/2007
28Total paid$990K
24GClaims37,170
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in South Carolina

Rank by total paid#7 of 64
Median peer was paid$3K
This provider vs. median328×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20184,790$159K
20195,516$156K
20204,854$130K
20215,353$147K
20225,294$142K
20233,960$117K
2024incomplete7,403$139K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 47% 10,204 9,342 $467K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 24% 3,375 3,222 $241K
93000 11% 15,568 14,241 $106K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 6.6% 1,145 1,060 $65K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.7% 167 154 $17K
93298 1.7% 1,469 1,447 $17K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1.1% 146 134 $11K
93297 1.0% 1,029 1,016 $10K
93880 <1% 199 193 $9K
93295 <1% 448 429 $8K
93296 <1% 925 878 $7K
J2785 Injection, regadenoson, 0.1 mg <1% 130 120 $6K
8 more codes
99213 Doctor's office visit, returning patient (routine) <1% 146 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,149 $6K
99204 Doctor's office visit, new patient (more involved) <1% 66 $5K
93015 <1% 166 $3K
93294 <1% 368 $2K
99442 <1% 61 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 26 $840.06
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 383 $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 officialSHAH, VIPUL (PRESIDENT)