Physician
Sleep and Pulmounary Speacialists PLLC
Sleep and Pulmounary Speacialists PLLC was paid $527K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 47% of everything it billed.
33Billing provider infoSLEEP AND PULMOUNARY SPEACIALISTS PLLC
MEMPHIS, TN 38103
MEMPHIS, TN 38103
33aNPI1154506210assigned 01/08/2008
33bProvider typePulmonary Disease Physician
28Total paid$527K
24GClaims6,680
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Tennessee
Rank by total paid#4 of 62
Median peer was paid$26K
This provider vs. median20×
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 | 1,146 | $32K | |
| 2019 | 515 | $60K | |
| 2020 | 771 | $84K | |
| 2021 | 1,013 | $107K | |
| 2022 | 1,292 | $101K | |
| 2023 | 1,251 | $80K | |
| 2024incomplete | 692 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 47% | 1,335 | 1,175 | $247K |
| 95811 | 30% | 917 | 774 | $157K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 8.9% | 1,931 | 620 | $47K |
| 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 | 6.7% | 790 | 751 | $35K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.1% | 829 | 70 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 304 | 259 | $10K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.0% | 117 | 15 | $5K |
| 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 | <1% | 141 | 132 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 152 | 141 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 64 | 38 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 20 | 15 | $980.84 |
| 99223 | Prolong inpt eval add15 m | <1% | 43 | 22 | $604.68 |
2 more codes
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 officialADAM, ZEINAB (ACCOUNT MANAGER)