Physician
Cardiology Physicians, LLC
Cardiology Physicians, LLC was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoCARDIOLOGY PHYSICIANS, LLC
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1952338212assigned 06/26/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$1.65M
24GClaims37,641
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Delaware
Rank by total paid#2 of 21
Median peer was paid$185K
This provider vs. median8.9×
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 | 2,579 | $11K | |
| 2019 | 5,972 | $97K | |
| 2020 | 4,874 | $273K | |
| 2021 | 5,148 | $316K | |
| 2022 | 6,846 | $352K | |
| 2023 | 6,364 | $332K | |
| 2024incomplete | 5,858 | $266K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 9,457 | 8,098 | $438K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 22% | 3,652 | 3,194 | $360K |
| 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 | 9.1% | 1,876 | 1,565 | $150K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.7% | 3,893 | 1,354 | $127K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 5.4% | 538 | 479 | $88K |
| 93880 | 4.9% | 1,166 | 1,044 | $81K | |
| 93000 | 4.0% | 10,150 | 8,569 | $66K | |
| J2785 | Injection, regadenoson, 0.1 mg | 3.8% | 980 | 841 | $62K |
| 78431 | 3.7% | 206 | 153 | $61K | |
| 93015 | 3.6% | 1,836 | 1,593 | $58K | |
| 99222 | Initial hospital care, per day, moderate complexity | 3.2% | 864 | 734 | $52K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.0% | 389 | 350 | $33K |
19 more codes
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.1% | 308 | $19K |
| 78434 | <1% | 294 | $13K | |
| 78492 | <1% | 29 | $12K | |
| 99223 | Prolong inpt eval add15 m | <1% | 117 | $9K |
| 93224 | <1% | 92 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 163 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 156 | $3K |
| 99406 | <1% | 217 | $1K | |
| 93793 | <1% | 256 | $1K | |
| 99490 | Ccm add 20min | <1% | 77 | $620.29 |
| 93296 | <1% | 29 | $408.44 | |
| 93042 | <1% | 520 | $364.08 | |
| 99457 | <1% | 56 | $359.57 | |
| 93295 | <1% | 12 | $335.27 | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 116 | $214.00 |
| 99458 | <1% | 18 | $94.47 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 78 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 18 | $0.00 |
| 85610 | 0% | 78 | $0.00 |
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 officialSARTER, BRIAN (DIRECTOR)