Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Cardiology Associates, LLC

Pediatric Cardiology Associates, LLC was paid $4.56M by Medicaid between Jan 2018 and Dec 2024, across 15 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 infoPEDIATRIC CARDIOLOGY ASSOCIATES, LLC
SYRACUSE, NY 13210
33aNPI1932258985assigned 01/09/2007
28Total paid$4.56M
24GClaims55,432
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Cardiology Physician providers in New York

Rank by total paid#2 of 89
Median peer was paid$3K
This provider vs. median1,476×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20184,791$365K
20196,313$483K
20207,610$619K
20219,455$814K
20229,835$828K
20239,924$822K
2024incomplete7,504$627K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 32% 7,450 7,147 $1.44M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 21% 5,685 5,586 $979K
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 16% 4,788 4,784 $710K
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 13% 5,560 5,455 $595K
93320 7.7% 7,427 7,121 $350K
93000 4.8% 15,089 14,922 $217K
93325 4.2% 8,899 8,515 $193K
76825 <1% 162 159 $40K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 78 78 $12K
76827 <1% 163 159 $11K
99205 Prolong outpt/office vis <1% 39 39 $7K
93224 <1% 41 41 $3K
3 more codes
99203 Doctor's office visit, new patient (routine) <1% 14 $1K
93272 <1% 24 $677.52
99201 <1% 13 $571.84

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 officialBYRUM, CRAIG (MANAGING PARTNER)