Medicaid Provider Spending

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

CRITICAL CARE & PULMONARY CONSULTANTS, PC

NPI: 1033135520 · GREENWOOD VILLAGE, CO 80111 · Pulmonary Disease Physician · NPI assigned 07/15/2006

$12.13M
Total Medicaid Paid
150,357
Total Claims
84,938
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFERGUSON, CATHLEEN (DELEGATE)
NPI Enumeration Date07/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 18,619 $1.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 30,286 14,000 $4.96M
99233 Prolong inpt eval add15 m 51,506 26,959 $3.05M
99223 Prolong inpt eval add15 m 14,406 12,959 $1.64M
99232 Subsequent hospital care, per day, moderate complexity 38,600 17,076 $1.52M
99239 Hospital discharge day management, more than 30 minutes 11,845 10,664 $732K
99222 Initial hospital care, per day, moderate complexity 1,147 1,011 $83K
99238 Hospital discharge day management, 30 minutes or less 1,786 1,613 $75K
99220 455 412 $44K
99292 174 106 $13K
95806 26 25 $2K
99219 26 24 $2K
99221 31 25 $1K
99217 26 25 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 15 $964.99
99225 14 12 $413.60
99406 14 12 $37.32