Heart Center INC

Heart Center INC was paid $348K by Medicaid between Jan 2018 and Mar 2023, across 21 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 22% of everything it billed.

33Billing provider infoHEART CENTER INC
CALDWELL, WV 24925

33aNPI1922109545assigned 09/26/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$348K

24GClaims5,237

24DCodes billed21

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Cardiovascular Disease Physician providers in West Virginia

Rank by total paid#10 of 31

Median peer was paid$64K

This provider vs. median5.4×

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	1,105	$109K
2019	811	$66K
2020	1,463	$81K
2021	1,491	$80K
2022	307	$11K
2023	60	$1K

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	22%	648	629	$78K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	17%	336	324	$60K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	17%	336	324	$59K
93000		8.2%	1,150	1,095	$29K
93015		6.5%	335	323	$22K
93880		5.9%	232	224	$21K
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	5.3%	415	380	$18K
36415	Collection of venous blood by venipuncture	5.0%	350	319	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.8%	342	327	$13K
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	3.4%	139	130	$12K
93224		1.6%	62	58	$6K
G8754	Most recent diastolic blood pressure < 90 mmhg	1.0%	233	210	$4K

9 more codes

G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	201	$3K
G9744	Patient not eligible due to active diagnosis of hypertension	<1%	91	$2K
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	74	$1K
1036F		<1%	56	$1K
99406		<1%	112	$1K
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	70	$1K
J0153	Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)	<1%	21	$159.82
93272		<1%	12	$145.28
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	22	$110.89

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 officialVON DOHLEN, THOMAS (SOLE PROPRIETOR)