3% of collections. Flat. All 50 states.matt@onlycardiologybilling.com  ·  Mon to Fri, 9 to 5 Central
Pennsylvania practices, Novitas rules first

Cardiology billing services in Pennsylvania

Sources checked: . Sources and review scope.

Cardiology billing services in Pennsylvania start with Novitas, your Medicare contractor for jurisdiction JL. Its coverage rules for echo, nuclear and monitors can differ from other contractors'. We're based in Texas, bill every state remotely, and bill cardiology only, at 3% of collections.

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3% of collectionsNo setup feeNo contract

Cardiology billing services in Pennsylvania: the Philadelphia skyline over the Schuylkill River
93350 · NovitasPennsylvania · jurisdiction JLPaid
Pennsylvania claims go to Novitas
01Medicare

How Novitas pays cardiology in Pennsylvania

CMS lists Novitas for Medicare jurisdiction JL, which includes Pennsylvania, New Jersey, Delaware, Maryland, and Washington, DC. Medicare local coverage determinations are made by the contractor for its jurisdiction; a coverage decision may differ in another jurisdiction.

We compare each claim's diagnosis, frequency, and documentation with applicable Novitas guidance before release. If documentation appears incomplete, we flag it for the practice to review; the treating clinician remains responsible for the record.

Checked against Novitas
Claim 33814Stress echo · POS 11
  • 93350Stress echo, with reportChecked
  • DiagnosisOn Novitas policyChecked
  • NoteReason for the study writtenChecked
  • LocalityRate for your regionChecked
  • Claim statusPaid
Novitas policy, checked per claim
02Payers

The Pennsylvania payers we bill

Commercial payer examples include Independence Blue Cross, Highmark, Capital Blue Cross, UPMC Health Plan, Aetna, UnitedHealthcare, Cigna, and Geisinger Health Plan. Service areas, networks, and product terms vary; verify the member's plan. Pennsylvania Medical Assistance uses HealthChoices managed care in many areas; check current member and plan information before billing.

You also see UPMC Health Plan, Aetna, UnitedHealthcare, Cigna and Geisinger Health Plan. Medical Assistance, the state's Medicaid program, runs through HealthChoices managed care plans. Examples are UPMC for You and Keystone First.

Billed to the right Blue
Claims 33851, 33852Echo 93306 · POS 11
Philadelphia practiceClaim 33851

Independence

Billed to the southeast Blue plan

Claim statusPaid
Pittsburgh practiceClaim 33852

Highmark

Billed to the western Blue plan

Claim statusPaid
The right Blue plan by region
03Your city

Cardiology practices we serve in Philadelphia, Pittsburgh, Harrisburg, Allentown

We're built for independent practices of 1 to 10 cardiologists with imaging in the office. That means echo and vascular labs, a nuclear camera, monitors and device checks.

Medicare physician fee schedule locality is tied to the applicable ZIP-to-carrier/locality mapping. We check the current CMS crosswalk for the service location rather than infer a rate from a city or statewide average.

Posted at your rate
Payment 33871Echo 93306 · Philadelphia
  • Medicare rate for Metropolitan Philadelphia
  • Contract rate for the plan
  • Payment matched line by line
Payment checkMatched
Paid at your locality's rate
04Switching

Switching from a local biller

Leaving a local biller, or a biller who left? The switch runs on a 60-day plan. Your claims keep moving from day one, and we work the old A/R in parallel.

Your dedicated biller learns your payers, your EHR and your doctors, and stays with your practice.

Your first 60 days with us
No gap in claims
Your switch60-day plan
  1. Day 1New claims go out daily
  2. Weeks 1 to 8Old A/R worked in parallel
  3. Day 60Your biller fully on the account
Claims keep moving from day one
05Questions

FAQ

Do you bill outside Philadelphia and Pittsburgh?

Yes. We bill statewide, from Erie to Scranton, under the same Novitas rules.

We see New Jersey patients. Can you bill their plans?

Yes. We bill in all 50 states, and New Jersey also sits under Novitas for Medicare. See our New Jersey page.

What does it cost?

3% of collections. No setup fee, no contract, no per-claim charges.

Sources and review context

Review context: Checked official CMS and Pennsylvania DHS sources on September 30, 2026. This is an administrative source check, not a clinical review, a claim-level coverage determination, legal advice, or a payment guarantee. CMS's current fee-schedule page links a ZIP-to-carrier/locality file updated August 13, 2026; its separate Locality Key table is labeled 2024. No blanket statewide locality or payment assertion is made here. Confirm the applicable locality, member eligibility and plan, provider requirements, and authorization for each claim.

06Get in touch

Send us your last 90 days of claims

We review them by study and by payer, free, with no strings.

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3% of collectionsNo setup feeNo contract

Free, no strings
Your 90-day Pennsylvania reviewLast 90 days
  • Every claim, by studyIncluded
  • Each Blue plan against your contractIncluded
  • Checked against Novitas policyIncluded