Physician
Pediatric Heartcare Partners PSC
Pediatric Heartcare Partners PSC was paid $2.29M by Medicaid between Jan 2018 and Aug 2021, across 14 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 28% of everything it billed.
33Billing provider infoPEDIATRIC HEARTCARE PARTNERS PSC
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
33aNPI1922143122assigned 02/21/2007
33bProvider typePediatric Cardiology Physician
28Total paid$2.29M
24GClaims37,640
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Pediatric Cardiology Physician providers in Kentucky
Rank by total paid#1 of 11
Median peer was paid$4K
This provider vs. median513×
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 | 11,573 | $712K | |
| 2019 | 11,724 | $727K | |
| 2020 | 9,042 | $509K | |
| 2021 | 5,301 | $343K |
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 | 28% | 5,059 | 4,726 | $640K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 24% | 3,412 | 3,169 | $548K |
| 93325 | 11% | 6,666 | 6,085 | $244K | |
| 93320 | 9.5% | 5,069 | 4,734 | $218K | |
| 99243 | 8.6% | 2,406 | 2,321 | $196K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 3,346 | 3,122 | $146K |
| 93000 | 4.2% | 6,515 | 6,052 | $96K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 661 | 615 | $46K |
| 93304 | 1.7% | 575 | 505 | $38K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.6% | 343 | 317 | $37K |
| 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 | 1.2% | 455 | 411 | $28K |
| 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 | 1.1% | 240 | 214 | $24K |
2 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 officialBOONE, JAMES (VICE PRESIDENT)