Cummings, Rose

Cummings, Rose was paid $12K by Medicaid between Jan 2018 and Jul 2018, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 87% of everything it billed.

33Billing provider infoCUMMINGS, ROSE
NORFOLK, VA 23507

33aNPI1982646071assigned 06/12/2006

33bProvider typePediatric Cardiology Physician

28Total paid$12K

24GClaims279

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2018

Compared with peers

Next to other Pediatric Cardiology Physician providers in Virginia

Rank by total paid#11 of 27

Median peer was paid$10K

This provider vs. median1.2×

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	279	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	87%	68	68	$10K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	12%	163	161	$1K
93325		1.3%	48	44	$157.42

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.