Pulmonary and Sleep Consultants, LLC

Pulmonary and Sleep Consultants, LLC was paid $3K by Medicaid between Jan 2018 and Jun 2019, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoPULMONARY AND SLEEP CONSULTANTS, LLC
WESTERVILLE, OH 43082

33aNPI1003909037assigned 10/02/2006

33bProvider typeSleep Medicine (Internal Medicine) Physician

28Total paid$3K

24GClaims225

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other Sleep Medicine (Internal Medicine) Physician providers in Ohio

Rank by total paid#12 of 14

Median peer was paid$33K

This provider vs. median0.1×

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	115	$1K
2019	110	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	60%	48	41	$2K
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	33%	16	15	$852.84
94010		7.1%	14	12	$183.19
94760		<1%	147	128	$4.50

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.

From NPPES

Who's on the registration

Authorized officialQADOOM, MAHMOUD (PRESIDENT)