Pulmonary Providers Group, INC.

Pulmonary Providers Group, INC. was paid $1.69M by Medicaid between Jan 2018 and May 2023, across 20 billing codes. Its largest line is B4154, Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 36% of everything it billed.

Compared with peers

Next to other Oxygen Equipment & Supplies (DME) providers in Illinois

Rank by total paid#9 of 42

Median peer was paid$200K

This provider vs. median8.5×

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	4,279	$355K
2019	4,865	$377K
2020	4,680	$333K
2021	4,705	$282K
2022	4,890	$254K
2023	1,531	$94K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	36%	4,587	4,422	$608K
T4541	Incontinence product, disposable underpad, large, each	16%	4,156	4,041	$279K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	11%	1,381	1,285	$189K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	9.1%	1,287	1,240	$155K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	8.5%	1,208	1,177	$143K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	5.9%	2,188	2,117	$99K
E0570	Nebulizer, with compressor	2.6%	622	561	$44K
A4927	Gloves, non-sterile, per 100	2.2%	2,581	2,492	$38K
E0603	Breast pump, electric (ac and/or dc), any type	2.2%	380	355	$38K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	1.5%	180	179	$26K
A5120	Skin barrier, wipes or swabs, each	1.5%	2,921	2,796	$25K
E0601	Continuous positive airway pressure (cpap) device	1.0%	427	392	$17K

8 more codes

E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	<1%	130	$13K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	578	$11K
A7038	Filter, disposable, used with positive airway pressure device	<1%	991	$5K
A7032	Cushion for use on nasal mask interface, replacement only, each	<1%	155	$3K
A7015	Aerosol mask, used with dme nebulizer	<1%	715	$932.34
A7013	Filter, disposable, used with aerosol compressor or ultrasonic generator	<1%	437	$404.67
A7031	Face mask interface, replacement for full face mask, each	<1%	12	$357.78
A7035	Headgear used with positive airway pressure device	<1%	14	$188.65

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 officialFISZER, JERZY (PRESIDENT)