Heart and Medical Center INC

Heart and Medical Center INC was paid $4.01M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoHEART AND MEDICAL CENTER INC
DURANT, OK 74701

33aNPI1891773727assigned 12/30/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$4.01M

24GClaims93,252

24DCodes billed55

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Oklahoma

Rank by total paid#2 of 25

Median peer was paid$127K

This provider vs. median31×

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	12,456	$428K
2019	13,086	$426K
2020	13,071	$444K
2021	13,335	$567K
2022	14,615	$712K
2023	15,489	$846K
2024incomplete	11,200	$581K

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	47%	34,916	29,240	$1.90M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.9%	8,233	7,448	$278K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	6.9%	3,357	3,313	$278K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.9%	8,765	3,461	$237K
99222	Initial hospital care, per day, moderate complexity	5.4%	3,899	3,575	$217K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.0%	5,204	2,283	$199K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	4.3%	1,035	1,035	$171K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	2.9%	1,201	1,201	$115K
93880		2.8%	1,556	1,554	$112K
J2785	Injection, regadenoson, 0.1 mg	2.3%	858	857	$93K
99238	Hospital discharge day management, 30 minutes or less	1.6%	1,762	1,631	$64K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.5%	767	739	$58K

43 more codes

93015		<1%	1,211	$35K
93000		<1%	4,163	$28K
99308	Subsequent nursing facility care, per day, straightforward	<1%	1,214	$24K
99239	Hospital discharge day management, more than 30 minutes	<1%	568	$22K
99219		<1%	392	$17K
99490	Ccm add 20min	<1%	2,397	$14K
99496		<1%	531	$13K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	2,112	$12K
93925		<1%	96	$11K
93458		<1%	64	$9K
94010		<1%	615	$9K
99458		<1%	990	$9K
99217		<1%	340	$8K
71046	Radiologic examination, chest; 2 views	<1%	510	$7K
99457		<1%	1,312	$7K
93567		<1%	312	$6K
99454		<1%	1,164	$6K
93224		<1%	147	$6K
99203	Doctor's office visit, new patient (routine)	<1%	65	$5K
76937		<1%	643	$5K
99406		<1%	395	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	238	$5K
99223	Prolong inpt eval add15 m	<1%	75	$4K
99307		<1%	256	$3K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	42	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	55	$2K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	<1%	114	$2K
93296		<1%	83	$697.24
36415	Collection of venous blood by venipuncture	<1%	88	$674.80
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	60	$660.16
96127		<1%	164	$617.20
80305		<1%	43	$460.98
99497		<1%	60	$447.38
90688		<1%	24	$428.16
93225		<1%	58	$423.32
93295		<1%	33	$372.40
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	165	$353.35
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	51	$232.13
20610		<1%	13	$215.91
99152		<1%	13	$81.75
99453		<1%	47	$47.06
96160		<1%	241	$18.54
99072		0%	535	$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 officialKHETPAL, VIVEK (PRESIDENT)