Physician
Pulmonary Practice Associates MD PA
Pulmonary Practice Associates MD PA was paid $905K by Medicaid between Mar 2018 and Nov 2024, across 14 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 39% of everything it billed.
33Billing provider infoPULMONARY PRACTICE ASSOCIATES MD PA
ORANGE CITY, FL 32763
ORANGE CITY, FL 32763
33aNPI1114929643assigned 08/15/2005
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$905K
24GClaims29,260
24DCodes billed14
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Florida
Rank by total paid#3 of 22
Median peer was paid$20K
This provider vs. median46×
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 | 428 | $4K | |
| 2019 | 4,532 | $131K | |
| 2020 | 6,930 | $198K | |
| 2021 | 5,697 | $202K | |
| 2022 | 5,039 | $148K | |
| 2023 | 4,898 | $168K | |
| 2024incomplete | 1,736 | $54K |
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 | 39% | 14,216 | 5,748 | $351K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 31% | 5,721 | 1,756 | $285K |
| 99223 | Prolong inpt eval add15 m | 19% | 2,486 | 2,011 | $174K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.3% | 4,396 | 1,979 | $57K |
| 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 | 3.6% | 1,593 | 1,410 | $32K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 15 | 12 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 126 | 108 | $1K |
| 99152 | <1% | 236 | 90 | $358.23 | |
| 99497 | <1% | 206 | 149 | $250.47 | |
| 94729 | <1% | 19 | 15 | $232.67 | |
| 94060 | <1% | 19 | 15 | $137.62 | |
| 94726 | <1% | 19 | 15 | $122.28 |
2 more codes
| 99153 | Mod sedat endo service >5yrs | <1% | 192 | $68.70 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 16 | $12.00 |
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 officialSIERRA, NATASHA (PRACTICE MANAGER)