Physician
Heart One Associates LLC
Heart One Associates LLC was paid $4.88M by Medicaid between Jul 2019 and Dec 2024, across 24 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 46% of everything it billed.
33Billing provider infoHEART ONE ASSOCIATES LLC
PHOENIX, AZ 85037
PHOENIX, AZ 85037
33aNPI1942778766assigned 11/09/2018
33bProvider typeInternal Medicine Physician
28Total paid$4.88M
24GClaims82,818
24DCodes billed24
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#15 of 395
Median peer was paid$68K
This provider vs. median72×
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 | |
|---|---|---|---|
| 2019 | 3,975 | $182K | |
| 2020 | 9,559 | $505K | |
| 2021 | 13,133 | $810K | |
| 2022 | 15,853 | $896K | |
| 2023 | 20,025 | $1.21M | |
| 2024incomplete | 20,273 | $1.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 46% | 38,992 | 13,947 | $2.27M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 16% | 10,062 | 9,734 | $780K |
| 99223 | Prolong inpt eval add15 m | 15% | 7,166 | 6,767 | $745K |
| 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 | 15% | 12,720 | 11,998 | $711K |
| 93000 | 2.1% | 9,848 | 9,521 | $102K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 1,275 | 1,190 | $90K |
| 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 | 1.2% | 624 | 616 | $58K |
| 99205 | Prolong outpt/office vis | <1% | 527 | 508 | $48K |
| 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% | 465 | 454 | $22K |
| 93015 | <1% | 334 | 327 | $17K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 399 | 232 | $16K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 40 | 38 | $10K |
12 more codes
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 51 | $5K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 13 | $2K |
| 93308 | <1% | 53 | $874.42 | |
| 93272 | <1% | 42 | $782.02 | |
| 93225 | <1% | 27 | $426.15 | |
| 93227 | <1% | 27 | $418.33 | |
| 76937 | <1% | 42 | $397.60 | |
| 93270 | <1% | 42 | $268.85 | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 12 | $251.46 |
| 99152 | <1% | 31 | $240.40 | |
| 93298 | <1% | 13 | $159.59 | |
| 93297 | <1% | 13 | $157.48 |
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 officialSUGUMARAN, RAJKUMAR (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Rajkumar Sugumaran MD PLLC | Youngtown, AZ | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.