Physician
Mid-South Pulmonary Specialists PC
Mid-South Pulmonary Specialists PC was paid $5.40M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.
33Billing provider infoMID-SOUTH PULMONARY SPECIALISTS PC
MEMPHIS, TN 38157
MEMPHIS, TN 38157
33aNPI1073592275assigned 01/16/2006
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$5.40M
24GClaims138,519
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Tennessee
Rank by total paid#1 of 16
Median peer was paid$14K
This provider vs. median398×
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 | 12,162 | $445K | |
| 2019 | 15,359 | $545K | |
| 2020 | 16,107 | $570K | |
| 2021 | 26,979 | $1.04M | |
| 2022 | 23,453 | $876K | |
| 2023 | 24,961 | $1.07M | |
| 2024incomplete | 19,498 | $859K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 50% | 63,273 | 26,691 | $2.71M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 54,195 | 28,386 | $1.52M |
| 99223 | Prolong inpt eval add15 m | 4.8% | 3,217 | 2,797 | $260K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 6,483 | 5,647 | $253K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.0% | 430 | 368 | $218K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 2,266 | 1,997 | $131K |
| 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 | 1.3% | 1,188 | 1,008 | $70K |
| 94010 | 1.3% | 3,732 | 3,150 | $70K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 478 | 378 | $46K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 587 | 530 | $45K |
| 95811 | <1% | 70 | 61 | $30K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 847 | 559 | $13K |
11 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 755 | $13K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 99 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 102 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 214 | $4K |
| 99221 | <1% | 93 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 265 | $3K |
| 99307 | <1% | 96 | $1K | |
| 94060 | <1% | 39 | $167.71 | |
| 94727 | <1% | 40 | $151.85 | |
| 94729 | <1% | 38 | $120.77 | |
| 90688 | <1% | 12 | $71.32 |
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 officialAVERY, KIMBERLY (ADMINISTRATOR)