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NPI 1780885285 · Woonsocket, RI · Cardiovascular Disease Physician
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Florian Koci is a cardiovascular disease physician provider located in Woonsocket, Rhode Island. This profile covers 27 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Florian Koci |
| Address | 68 Cumberland St |
| City | Woonsocket |
| State | RI |
| ZIP | 02895 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | May 30, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $268.6K |
| Medicaid | $4.4K |
Provider payer mix is heavily Medicare‑weighted: lifetime Medicare revenue is $268.6K versus Medicaid revenue of $4.4K, indicating Medicare is the dominant payer for this clinician and Medicaid represents only a very small portion of billed revenue. This scale difference suggests the provider’s patient population and cash flow rely primarily on Medicare-covered services rather than Medicaid.
Medicare revenue is concentrated in a small set of diagnostic and E/M services: the top three Medicare codes (99214, 93306, 78452) account for 55.0% of this provider’s Medicare revenue. Individually those codes are 99214 $57.4K (21.4%), 93306 $46.7K (17.4%), and 78452 $43.4K (16.2%), which together point to a practice built around office E/M visits, transthoracic echocardiography, and nuclear cardiac stress testing.
Medicaid billing is narrowly focused and fully explained by three codes: the top three Medicaid codes (93010, 93000, 99213) account for 100.0% of the provider’s Medicaid revenue. Those codes are 93010 $2.3K (51.3%), 93000 $1.5K (33.6%), and 99213 $663 (15.0%), indicating Medicaid activity is concentrated on ECG interpretation/recording plus a small volume of low‑level established outpatient visits.
Competitive standing on core cardiology diagnostics is modest to above‑typical but not dominant nationally: 99214 ranks #37098 of 479517 providers nationally (92th percentile; typical, unremarkable volume for this code), 93306 ranks #7047 of 24624 (71th percentile; typical), and 78452 ranks #3935 of 14946 (73th percentile; typical). These rank/percentile positions imply the provider performs a respectable but not market‑leading volume of office E/M and cardiac imaging relative to national peers.
ECG services are a relative strength versus national peers: 93000 on Medicare ranks #2918 of 71016 providers nationally (96th percentile; notably above typical national volume for this code), and 93010 ranks #4449 of 50616 (91th percentile; typical, unremarkable volume for this code). That combination of above‑typical ECG recording and high interpretation throughput supports a workflow with steady ECG throughput and reporting capacity.
The practice mix includes hospital/inpatient work in addition to outpatient imaging: Medicare hospital initial care code 99223 accounts for $15.6K (5.8%) and subsequent hospital care 99233 accounts for $10K (3.7%) of Medicare revenue. Presence of these inpatient E/M codes alongside high echocardiography and stress imaging suggests the clinician provides both outpatient diagnostic cardiology and some inpatient consult/coverage activity.
Device and remote monitoring are present but low in scale: pacemaker/ICD monitoring and interpretation codes such as 93294 ($1.8K, 0.7%), 93248 ($1.7K, 0.6%), and 93296 ($1.5K, 0.6%) appear in the Medicare mix at modest levels. These entries indicate capability and occasional billing for device follow‑up but not a substantial, high‑volume device-management line of business.
Provider tenure shows long‑standing enrollment: NPI enumerated 2007-05-30 (~19 years ago), indicating nearly two decades of billing history that can support trend analysis and comparison across the clinician’s lifetime Medicare and Medicaid activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 590 | $100 | $57.4K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 350 | $130 | $46.7K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 110 | $410 | $43.4K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 210 | $90 | $19.9K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 110 | $150 | $15.6K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 80 | $120 | $10.2K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 100 | $100 | $10K |
| J2785 | Injection, regadenoson, 0.1 mg | 220 | $40 | $9.5K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 60 | $140 | $8.7K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 720 | $10 | $8.6K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 380 | $10 | $2.3K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 80 | $20 | $1.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 10 | $50 | $660 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,951 | 2,050 | 300 | $50 | $72.3K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 81 | 150 | 470 | $10 | $19.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 51 | 100 | 120 | $10 | $3.9K |
Other providers in the same ZIP code as Florian Koci, ranked by combined Medicare and Medicaid revenue.
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