Physician
Pulmonary Diseases Medicine Clinic
Pulmonary Diseases Medicine Clinic was paid $56K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 46% of everything it billed.
33Billing provider infoPULMONARY DISEASES MEDICINE CLINIC
TEXARKANA, TX 75501
TEXARKANA, TX 75501
33aNPI1114044328assigned 03/23/2007
33bProvider typePulmonary Disease Physician
28Total paid$56K
24GClaims3,306
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Texas
Rank by total paid#24 of 92
Median peer was paid$8K
This provider vs. median6.6×
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 | 865 | $14K | |
| 2019 | 1,003 | $16K | |
| 2020 | 443 | $10K | |
| 2021 | 587 | $9K | |
| 2022 | 231 | $4K | |
| 2023 | 138 | $2K | |
| 2024incomplete | 39 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 46% | 608 | 384 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 946 | 914 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 56 | 41 | $7K |
| 99221 | 13% | 163 | 150 | $7K | |
| 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% | 12 | 12 | $102.55 |
| 4040F | 0% | 129 | 125 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 44 | 44 | $0.00 |
| 3023F | 0% | 64 | 63 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 914 | 842 | $0.00 |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 40 | 39 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 97 | 94 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 65 | 63 | $0.00 |
3 more codes
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 officialWATKINS, BECKY (OFFICE MANAGER)