Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Riverhead › NPI 1932688629
Physician

Peconic Cardiology, PC

Peconic Cardiology, PC was paid $638K by Medicaid between Mar 2019 and Dec 2024, across 12 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 41% of everything it billed.

33Billing provider infoPECONIC CARDIOLOGY, PC
RIVERHEAD, NY 11901
33aNPI1932688629assigned 08/13/2018
28Total paid$638K
24GClaims18,994
24DCodes billed12
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers

Next to other Nuclear Cardiology Physician providers in New York

Rank by total paid#7 of 56
Median peer was paid$22K
This provider vs. median29×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
2019804$16K
20201,943$99K
20214,932$133K
20223,652$105K
20234,726$194K
2024incomplete2,937$92K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 41% 1,417 1,415 $259K
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 26% 1,366 1,338 $166K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17% 12,890 11,127 $108K
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 4.6% 172 172 $29K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.9% 140 137 $25K
93000 3.0% 1,287 1,284 $19K
99072 1.5% 1,419 1,308 $9K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 1.2% 26 26 $8K
93015 1.1% 97 97 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 58 58 $5K
93298 <1% 90 90 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 32 31 $37.83

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 officialCUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO)
Same official

Other billing entities under CUSACK, MICHELE

Full network →
ProviderLocationPaid
Long Island Jewish Medical CenterNew Hyde Park, NY$370.91M
North Shore University HospitalNew Hyde Park, NY$166.53M
Staten Island University HospitalStaten Island, NY$118.12M
Regioncare INC.Garden City, NY$96.55M
North Shore University HospitalManhasset, NY$87.68M
Lenox Hill HospitalNew York, NY$63.17M
South Shore University HospitalBay Shore, NY$47.45M
John T. Mather Memorial HospitalPort Jefferson, NY$20.34M
Phelps Memorial Hospital AssociationSleepy Hollow, NY$20.17M
North Shore University HospitalWestbury, NY$17.90M
True North Medical Group PCMerrick, NY$12.56M
Huntington Hospital AssociationHuntington, NY$9.83M
The Long Island HomeAmityville, NY$9.49M
Regioncare INC.Great Neck, NY$9.43M
Long Island Jewish Medical CenterValley Stream, NY$8.41M
Huntington Hospital Dolan Family Health CenterGreenlawn, NY$8.03M
Glen Cove HospitalGlen Cove, NY$7.72M
Central Suffolk HospitalRiverhead, NY$7.66M
Northern Westchester Hospital AssociationMount Kisco, NY$7.58M
Plainview HospitalPlainview, NY$6.39M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.