Physician
Pulmonary Medicine Associates, P.A.
Pulmonary Medicine Associates, P.A. was paid $4K by Medicaid between Aug 2019 and Nov 2020, across 6 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 46% of everything it billed.
33Billing provider infoPULMONARY MEDICINE ASSOCIATES, P.A.
OCOEE, FL 34761
OCOEE, FL 34761
33aNPI1023256062assigned 01/29/2009
33bProvider typePulmonary Disease Physician
28Total paid$4K
24GClaims1,206
24DCodes billed6
24AFirst – last monthAug 2019 – Nov 2020
Compared with peers
Next to other Pulmonary Disease Physician providers in Florida
Rank by total paid#92 of 142
Median peer was paid$11K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 651 | $2K | |
| 2020 | 555 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 46% | 926 | 186 | $2K |
| 99223 | Prolong inpt eval add15 m | 43% | 13 | 12 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 20 | 12 | $429.26 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 86 | 51 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 65 | 36 | $0.00 |
| 94760 | 0% | 96 | 58 | $0.00 |
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 officialHERNANDEZ, JORGE (OWNER/PRACTICING MD/CEO)
| Provider | Location | Paid |
|---|---|---|
| Gwinnett Physician Group, LLC | Lawrenceville, GA | $8.28M |
| North Atlanta Professional Services LLC | Atlanta, GA | $849K |
| Georgia Surgical Professional Services, LLC | Atlanta, GA | $709K |
| Walmart #2067 | Mayaguez, PR | $98K |
| Walmart #2501 | Bayamon, PR | $59K |
| Walmart #2085 | Isabela, PR | $37K |
| NSH Cancer Institute Professional Services G, LLC | Atlanta, GA | $3K |
| Jorge L Hernandez MD PA | Bradenton, FL | $3K |
| Walmart #1854 | Hatillo, PR | $999.90 |
| Northside Hospital, INC. | Atlanta, GA | $953.17 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.