Physician
Pulmonology Group LLC
Pulmonology Group LLC was paid $913K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoPULMONOLOGY GROUP LLC
BULLHEAD CITY, AZ 86442
BULLHEAD CITY, AZ 86442
33aNPI1134507189assigned 05/11/2015
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$913K
24GClaims25,156
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Arizona
Rank by total paid#9 of 31
Median peer was paid$567K
This provider vs. median1.6×
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 | 368 | $14K | |
| 2019 | 3,388 | $109K | |
| 2020 | 2,858 | $97K | |
| 2021 | 3,940 | $159K | |
| 2022 | 4,085 | $133K | |
| 2023 | 5,491 | $195K | |
| 2024incomplete | 5,026 | $206K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 3,957 | 3,741 | $209K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 10% | 1,141 | 1,075 | $95K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.9% | 5,013 | 1,339 | $91K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.3% | 2,014 | 1,937 | $85K |
| 94729 | 8.6% | 2,108 | 2,001 | $78K | |
| 94726 | 8.5% | 2,195 | 2,082 | $77K | |
| 94060 | 7.7% | 2,120 | 1,995 | $70K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.3% | 1,384 | 595 | $58K |
| 99223 | Prolong inpt eval add15 m | 4.9% | 744 | 665 | $45K |
| 94618 | 1.7% | 723 | 685 | $16K | |
| 99426 | 1.7% | 363 | 361 | $15K | |
| 95806 | 1.4% | 119 | 94 | $13K |
18 more codes
| 94664 | <1% | 941 | $9K | |
| 99454 | <1% | 378 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 101 | $8K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 68 | $8K |
| 95811 | <1% | 16 | $7K | |
| 99457 | <1% | 382 | $6K | |
| 95800 | <1% | 32 | $4K | |
| 99458 | <1% | 209 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $3K |
| 94200 | <1% | 171 | $2K | |
| 99427 | <1% | 46 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 15 | $2K |
| 99453 | <1% | 79 | $795.01 | |
| 94728 | <1% | 127 | $178.58 | |
| 99406 | <1% | 15 | $33.63 | |
| G8482 | Influenza immunization administered or previously received | 0% | 67 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 327 | $0.00 |
| 3008F | 0% | 259 | $0.00 |
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 officialSAYAL, VIKAS (PHYSICIAN / OWNER)