Stanislaus Cardiology Group
Stanislaus Cardiology Group was paid $7.20M by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 36% of everything it billed.
33Billing provider infoSTANISLAUS CARDIOLOGY GROUP
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1902828841assigned 07/23/2006
33bProvider typeSpecialist
28Total paid$7.20M
24GClaims87,922
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#29 of 1,230
Median peer was paid$51K
This provider vs. median140×
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 | 12,088 | $871K | |
| 2019 | 13,915 | $1000K | |
| 2020 | 11,809 | $909K | |
| 2021 | 13,803 | $1.14M | |
| 2022 | 12,979 | $1.18M | |
| 2023 | 13,820 | $1.26M | |
| 2024incomplete | 9,508 | $844K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 36% | 20,666 | 15,525 | $2.58M |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 14% | 6,870 | 6,722 | $995K |
| 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 | 9.4% | 17,670 | 17,500 | $676K |
| 93015 | 8.2% | 4,415 | 4,380 | $592K | |
| J2785 | Injection, regadenoson, 0.1 mg | 7.3% | 2,669 | 2,631 | $528K |
| 99205 | Prolong outpt/office vis | 7.0% | 4,993 | 4,982 | $503K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 6.9% | 3,264 | 3,218 | $498K |
| 93000 | 5.0% | 14,528 | 14,429 | $363K | |
| 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 | 2.4% | 2,127 | 2,117 | $172K |
| 93224 | 1.4% | 783 | 781 | $98K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 6,455 | 5,631 | $54K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 749 | 748 | $51K |
11 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 446 | $26K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 835 | $23K |
| 93296 | <1% | 764 | $18K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 126 | $7K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 300 | $6K |
| 99152 | <1% | 167 | $5K | |
| 93351 | <1% | 20 | $4K | |
| 93294 | <1% | 38 | $647.48 | |
| 93270 | <1% | 12 | $417.28 | |
| 93272 | <1% | 12 | $304.38 | |
| 93298 | <1% | 13 | $198.39 |
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 officialWONG, KENT (PARTNER)