RAUL HEREDIA, MD
Cardiovascular Disease Physician · FRANKFORT, KY
Individual Active NPI 1366408213
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 492 | 2,409 | $391,424 | $173,637 | $123,696 |
| 2023 | 505 | 2,421 | $449,387 | $198,595 | $141,995 |
| 2022 | 513 | 2,434 | $473,500 | $222,295 | $156,582 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 744 | $122 | $83 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 710 | $13 | $10 |
| J2785 | Injection, regadenoson, 0.1 mg | 104 | $6 | $5 |
| 36415 | Insertion of needle into vein for collection of blood sample | 101 | $9 | $9 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 93 | $167 | $124 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 68 | $72 | $58 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 63 | $86 | $54 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 48 | $157 | $109 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 45 | $59 | $45 |
| 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 | 45 | $16 | $13 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 42 | $366 | $290 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 30 | $67 | $52 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | 35532 | KY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Cardiovascular Disease Physician providers in Kentucky
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See all Cardiovascular Disease Physician providers in Kentucky →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.