Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PULMONARY MEDICINE ASSOCIATES, P.A.

NPI: 1023256062 · OCOEE, FL 34761 · Pulmonary Disease Physician · NPI assigned 01/29/2009

$4K
Total Medicaid Paid
1,206
Total Claims
355
Beneficiaries
6
Codes Billed
2019-08
First Month
2020-11
Last Month

Provider Details

Authorized OfficialHERNANDEZ, JORGE (OWNER/PRACTICING MD/CEO)
NPI Enumeration Date01/29/2009

Related Entities

Other providers sharing the same authorized official: HERNANDEZ, JORGE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 651 $2K
2020 555 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99310 Prolong nursin fac eval 15m 926 186 $2K
99223 Prolong inpt eval add15 m 13 12 $2K
99233 Prolong inpt eval add15 m 20 12 $429.26
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 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 65 36 $0.00
94760 96 58 $0.00