Children's Heart Institute
Children's Heart Institute was paid $4.20M by Medicaid between Jan 2018 and Jan 2023, across 40 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 32% of everything it billed.
33Billing provider infoCHILDREN'S HEART INSTITUTE
HERNDON, VA 20170
HERNDON, VA 20170
33aNPI1922058668assigned 05/11/2006
33bProvider typeSpecialist
28Total paid$4.20M
24GClaims66,058
24DCodes billed40
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#8 of 231
Median peer was paid$47K
This provider vs. median89×
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 | 7,981 | $526K | |
| 2019 | 12,231 | $692K | |
| 2020 | 18,164 | $1.08M | |
| 2021 | 17,777 | $1.18M | |
| 2022 | 9,893 | $727K | |
| 2023 | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 32% | 8,744 | 7,817 | $1.36M |
| 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 | 15% | 5,154 | 4,802 | $638K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 12% | 3,356 | 3,064 | $523K |
| 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 | 12% | 6,491 | 5,853 | $515K |
| 93320 | 8.0% | 8,799 | 7,854 | $336K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 3,938 | 3,642 | $245K |
| 93000 | 5.4% | 17,723 | 16,073 | $227K | |
| 93325 | 3.8% | 8,851 | 7,910 | $161K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.3% | 424 | 392 | $53K |
| 93978 | <1% | 509 | 418 | $33K | |
| 99245 | <1% | 129 | 116 | $17K | |
| 99205 | Prolong outpt/office vis | <1% | 158 | 127 | $16K |
28 more codes
| 93224 | <1% | 153 | $12K | |
| 95922 | <1% | 168 | $8K | |
| 95924 | <1% | 160 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 59 | $6K |
| 93975 | <1% | 29 | $5K | |
| A9524 | Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries | <1% | 16 | $5K |
| 95921 | <1% | 230 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 57 | $4K |
| 94621 | <1% | 38 | $4K | |
| 99243 | <1% | 40 | $4K | |
| 93225 | <1% | 131 | $3K | |
| 93227 | <1% | 152 | $3K | |
| 93660 | <1% | 39 | $3K | |
| 94750 | <1% | 24 | $1K | |
| 93015 | <1% | 24 | $1K | |
| 97165 | <1% | 40 | $1K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 12 | $1K |
| 93979 | <1% | 12 | $1K | |
| 94681 | <1% | 26 | $998.27 | |
| 78122 | <1% | 16 | $812.24 | |
| 94070 | <1% | 12 | $568.31 | |
| 97163 | <1% | 18 | $496.40 | |
| 93226 | <1% | 16 | $470.95 | |
| 90901 | <1% | 36 | $417.20 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 57 | $211.61 |
| 94760 | <1% | 170 | $163.80 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 25 | $155.92 |
| 94770 | 0% | 22 | $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 officialABDALLAH, HASAN (MEDICAL DIRECTOR)