Physician
Cardiomed Specialists PC
Cardiomed Specialists PC was paid $761K by Medicaid between Jan 2018 and Dec 2023, across 20 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.
33Billing provider infoCARDIOMED SPECIALISTS PC
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1881965366assigned 01/16/2012
33bProvider typeCardiovascular Disease Physician
28Total paid$761K
24GClaims24,256
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Cardiovascular Disease Physician providers in Indiana
Rank by total paid#4 of 83
Median peer was paid$12K
This provider vs. median62×
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 | 3,132 | $64K | |
| 2019 | 4,932 | $158K | |
| 2020 | 3,698 | $131K | |
| 2021 | 4,595 | $158K | |
| 2022 | 4,155 | $117K | |
| 2023 | 3,744 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 41% | 11,449 | 2,964 | $313K |
| 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 | 26% | 4,011 | 3,420 | $197K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.5% | 1,039 | 970 | $57K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.2% | 1,132 | 630 | $55K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.2% | 700 | 576 | $55K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.9% | 1,959 | 643 | $30K |
| 99223 | Prolong inpt eval add15 m | 2.1% | 183 | 178 | $16K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 2,667 | 2,357 | $10K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 246 | 227 | $8K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 184 | 180 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 88 | 72 | $4K |
| 93460 | <1% | 12 | 12 | $2K |
8 more codes
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 officialOKORO, LUWANGA (PRESIDENT)