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Cardiovascular Institute of San Diego INC

Internal Medicine, Advanced Heart Failure and Transplant Cardiology·Chula Vista, CA·NPI: 1558518753Share
Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$129.2M

$129,165,018

Total Claims

656K

Beneficiaries

630K

1.0 claims/patient

Avg Cost/Claim

$197

#901 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Cardiovascular Institute of San Diego INC is a Internal Medicine, Advanced Heart Failure and Transplant Cardiology provider based in Chula Vista, CA. From the 2018–2024 period, this provider received $129.2M in Medicaid payments across 656K claims.

Why This Matters

This provider received $129.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,145 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 255% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$8.9M
+8%
2019
$9.6M
+22%
2020
$11.7M
+60%
2021
$18.7M
+14%
2022
$21.3M
+29%
2023
$27.3M
+16%
2024
$31.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (36478) accounts for 22% of total spending.

36478Top 10%

$28.3M

18K claims · 21.9%

Your Cost: $1,534.80/claim|Median: $864.49
1.8× median
93229Top 5%

$16.9M

20K claims · 13.1%

Your Cost: $837.57/claim|Median: $364.01
2.3× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$14.1M

64K claims · 10.9%

Your Cost: $219.81/claim|Median: $54.68
4.0× median
36465Top 10%

$11.8M

8K claims · 9.1%

Your Cost: $1,565.41/claim|Median: $792.14
2.0× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$10.4M

125K claims · 8.0%

Your Cost: $83.12/claim|Median: $53.41
1.6× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$6.5M

16K claims · 5.1%

Your Cost: $420.41/claim|Median: $106.14
4.0× median
93970Top 5%

Duplex scan of extremity veins, complete, bilateral

$6.0M

30K claims · 4.6%

Your Cost: $200.41/claim|Median: $43.07
4.7× median
A9500Top 1%

Technetium-99m radiopharmaceutical diagnostic imaging agent

$5.1M

15K claims · 3.9%

Your Cost: $328.66/claim|Median: $64.30
5.1× median
33285Top 1%

$4.2M

891 claims · 3.2%

Your Cost: $4,699.43/claim|Median: $3,467.19
1.4× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$2.9M

22K claims · 2.2%

Your Cost: $128.83/claim|Median: $84.03
1.5× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$2.8M

24K claims · 2.2%

Your Cost: $117.75/claim|Median: $25.43
4.6× median
J2785Top 10%

$2.4M

13K claims · 1.9%

Your Cost: $192.93/claim|Median: $61.83
3.1× median
93351Top 10%

$2.3M

8K claims · 1.8%

Your Cost: $297.74/claim|Median: $140.02
2.1× median
93925Top 10%

$2.1M

12K claims · 1.7%

Your Cost: $178.35/claim|Median: $54.12
3.3× median
93880Top 5%

Duplex ultrasound scan of carotid arteries, bilateral

$1.6M

9K claims · 1.2%

Your Cost: $178.14/claim|Median: $49.03
3.6× median
93015Top 25%

$1.5M

18K claims · 1.1%

Your Cost: $80.05/claim|Median: $41.12
1.9× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$1.2M

61K claims · 0.9%

Your Cost: $19.93/claim|Median: $9.70
2.0× median
93356Top 25%

$1.1M

29K claims · 0.9%

Your Cost: $38.51/claim|Median: $9.51
4.0× median
99215Top 25%

Office/outpatient visit, high complexity

$904K

7K claims · 0.7%

Your Cost: $128.64/claim|Median: $74.09
1.7× median
93298Top 5%

$883K

24K claims · 0.7%

Your Cost: $36.54/claim|Median: $14.28
2.6× median
93922Top 25%

$877K

13K claims · 0.7%

Your Cost: $69.23/claim|Median: $26.06
2.7× median
93224Top 25%

ECG monitoring, continuous, up to forty-eight hours, with analysis

$703K

6K claims · 0.5%

Your Cost: $119.68/claim|Median: $67.14
1.8× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$613K

10K claims · 0.5%

Your Cost: $60.54/claim|Median: $37.81
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$570K

8K claims · 0.4%

Your Cost: $69.52/claim|Median: $35.30
2.0× median
93228Top 10%

$522K

20K claims · 0.4%

Your Cost: $26.09/claim|Median: $14.08
1.9× median
78451Normal range

$409K

1K claims · 0.3%

Your Cost: $300.55/claim|Median: $84.57
3.5× median
G2066Normal range

$391K

14K claims · 0.3%

Your Cost: $27.45/claim|Median: $14.66
1.9× median
A9502Top 25%

$288K

2K claims · 0.2%

Your Cost: $153.13/claim|Median: $54.60
2.8× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$280K

2K claims · 0.2%

Your Cost: $167.01/claim|Median: $111.09
1.5× median
93975Top 10%

Duplex scan of arterial inflow and venous outflow, complete

$277K

1K claims · 0.2%

Your Cost: $247.81/claim|Median: $79.28
3.1× median

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