Sun City Pulmonary Critical Care

Sun City Pulmonary Critical Care was paid $29K by Medicaid between Jan 2018 and Mar 2023, across 3 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 71% of everything it billed.

33Billing provider infoSUN CITY PULMONARY CRITICAL CARE
CORPUS CHRISTI, TX 78411

33aNPI1033325030assigned 05/15/2007

33bProvider typePulmonary Disease Physician

28Total paid$29K

24GClaims1,834

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#32 of 92

Median peer was paid$8K

This provider vs. median3.4×

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	230	$912.00
2019	184	$752.64
2020	330	$1K
2021	410	$10K
2022	575	$15K
2023	105	$181.92

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	71%	584	178	$21K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	23%	773	150	$7K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.4%	477	133	$2K

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 officialMUMMADY, PRADYUMNA (PHYSICIAN)