Physician
Pulmonary and Critical Care Associates of Baltimore, P.A.
Pulmonary and Critical Care Associates of Baltimore, P.A. was paid $2.78M by Medicaid between Jan 2018 and Jun 2022, across 27 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 39% of everything it billed.
33Billing provider infoPULMONARY AND CRITICAL CARE ASSOCIATES OF BALTIMORE, P.A.
TOWSON, MD 21286
TOWSON, MD 21286
33aNPI1043305832assigned 10/04/2006
33bProvider typeCritical Care Medicine (Anesthesiology) Physician
28Total paid$2.78M
24GClaims47,826
24DCodes billed27
24AFirst – last monthJan 2018 – Jun 2022
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 | 10,900 | $745K | |
| 2019 | 10,833 | $527K | |
| 2020 | 14,878 | $852K | |
| 2021 | 10,161 | $616K | |
| 2022 | 1,054 | $38K |
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 | 39% | 10,835 | 4,184 | $1.08M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 27% | 13,658 | 5,555 | $747K |
| 99223 | Prolong inpt eval add15 m | 7.4% | 2,340 | 2,233 | $205K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.5% | 3,878 | 3,690 | $181K |
| 94004 | 5.6% | 6,855 | 1,751 | $157K | |
| 94729 | 2.5% | 2,126 | 1,965 | $68K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.4% | 291 | 289 | $67K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 488 | 465 | $39K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 568 | 544 | $36K |
| 94010 | 1.2% | 2,141 | 1,976 | $34K | |
| 94727 | 1.0% | 1,287 | 1,184 | $28K | |
| 95811 | 1.0% | 125 | 125 | $28K |
15 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 668 | $27K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 517 | $20K |
| 94060 | <1% | 553 | $19K | |
| 99292 | <1% | 304 | $15K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 360 | $10K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 273 | $6K |
| 95806 | <1% | 42 | $4K | |
| 99307 | <1% | 146 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 44 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 39 | $2K |
| 94760 | <1% | 233 | $952.55 | |
| 31500 | <1% | 14 | $357.63 | |
| 95012 | <1% | 16 | $246.88 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 12 | $42.47 |
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 officialWEST, ROBERT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Robert West LC | Chesterfield, MO | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.