Gulfcoast Pulmonary Associates, P.A.

Gulfcoast Pulmonary Associates, P.A. was paid $50K by Medicaid between Jan 2018 and Oct 2020, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 37% of everything it billed.

33Billing provider infoGULFCOAST PULMONARY ASSOCIATES, P.A.
NEW PORT RICHEY, FL 34653

33aNPI1154481752assigned 12/12/2006

33bProvider typePulmonary Disease Physician

28Total paid$50K

24GClaims1,430

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in Florida

Rank by total paid#48 of 142

Median peer was paid$11K

This provider vs. median4.5×

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	23	$0.00
2019	921	$37K
2020	486	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	37%	263	215	$18K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	31%	906	282	$16K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	29%	172	57	$15K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.1%	89	30	$1K

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 officialDURHAM, DANEINE (OFFICE MANAGER)