Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AL › Birmingham › NPI 1134311665
Physician

Eastern Pulmonary & Sleep, PC

Eastern Pulmonary & Sleep, PC was paid $12K by Medicaid between Jan 2018 and Mar 2021, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoEASTERN PULMONARY & SLEEP, PC
BIRMINGHAM, AL 35235
33aNPI1134311665assigned 08/17/2007
28Total paid$12K
24GClaims675
24DCodes billed3
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Pulmonary Disease Physician providers in Alabama

Rank by total paid#10 of 19
Median peer was paid$12K
This provider vs. median1.0×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018317$6K
2019277$5K
202068$1K
202113$210.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 330 316 $7K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 37% 318 112 $4K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.1% 27 12 $741.00

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 officialMEADOWS, SUSAN (OFFICE MANAGER)