Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PULMONARY CARE INNOVATIONS PLLC

NPI: 1124598149 · TULSA, OK 74137 · Pulmonary Disease Physician · NPI assigned 12/03/2018

$34K
Total Medicaid Paid
930
Total Claims
915
Beneficiary Records
6
Codes Billed
2019-10
First Month
2022-09
Last Month

Provider Details

Authorized OfficialBOOMER, WALTER (SOLE OWNER- AUTHORIZED OFFICIAL)
NPI Enumeration Date12/03/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 44 $224.21
2020 207 $1K
2021 74 $2K
2022 605 $31K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 239 229 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 79 78 $5K
71046 Radiologic examination, chest; 2 views 181 178 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 34 $4K
94010 120 120 $3K
99454 277 276 $2K