Medicaid Provider Spending

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

PULMONARY PHYSICIANS INC

NPI: 1134124340 · CANTON, OH 44708 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 06/15/2005

$639K
Total Medicaid Paid
21,159
Total Claims
12,412
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCAIN, KRISTI (PRACTICE ADMINISTRATOR)
NPI Enumeration Date06/15/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,845 $111K
2019 4,910 $127K
2020 3,306 $99K
2021 3,433 $112K
2022 2,552 $90K
2023 1,435 $60K
2024 678 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,052 2,660 $277K
99233 Prolong inpt eval add15 m 5,944 2,894 $149K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,935 2,745 $121K
99223 Prolong inpt eval add15 m 999 935 $40K
99232 Subsequent hospital care, per day, moderate complexity 2,842 1,438 $36K
94060 532 515 $9K
94729 505 493 $4K
94726 140 135 $988.51
99442 53 44 $641.88
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $634.09
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $458.68
99205 Prolong outpt/office vis 13 12 $247.21
99443 13 12 $149.25
94010 13 13 $83.68
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,063 465 $0.00
4040F 15 13 $0.00
G8482 Influenza immunization administered or previously received 15 13 $0.00