Critical Care & Pulmonary Consultants, PC

Critical Care & Pulmonary Consultants, PC was paid $12.13M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 41% of everything it billed.

33Billing provider infoCRITICAL CARE & PULMONARY CONSULTANTS, PC
GREENWOOD VILLAGE, CO 80111

33aNPI1033135520assigned 07/15/2006

33bProvider typePulmonary Disease Physician

28Total paid$12.13M

24GClaims150,357

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Colorado

Rank by total paid#1 of 30

Median peer was paid$72K

This provider vs. median169×

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	15,900	$973K
2019	23,284	$1.52M
2020	27,180	$2.23M
2021	24,309	$2.10M
2022	20,644	$1.61M
2023	20,421	$1.88M
2024incomplete	18,619	$1.81M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	41%	30,286	14,000	$4.96M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	25%	51,506	26,959	$3.05M
99223	Prolong inpt eval add15 m	14%	14,406	12,959	$1.64M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	38,600	17,076	$1.52M
99239	Hospital discharge day management, more than 30 minutes	6.0%	11,845	10,664	$732K
99222	Initial hospital care, per day, moderate complexity	<1%	1,147	1,011	$83K
99238	Hospital discharge day management, 30 minutes or less	<1%	1,786	1,613	$75K
99220		<1%	455	412	$44K
99292		<1%	174	106	$13K
95806		<1%	26	25	$2K
99219		<1%	26	24	$2K
99221		<1%	31	25	$1K

4 more codes

99217		<1%	26	$1K
99214	Doctor's office visit, returning patient (more involved)	<1%	15	$964.99
99225		<1%	14	$413.60
99406		<1%	14	$37.32

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 officialFERGUSON, CATHLEEN (DELEGATE)