Institute for Respiratory and Sleep Medicine P C
Institute for Respiratory and Sleep Medicine P C was paid $51K by Medicaid between Jan 2018 and Jul 2022, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 55% of everything it billed.
33Billing provider infoINSTITUTE FOR RESPIRATORY AND SLEEP MEDICINE P C
YARDLEY, PA 19067
YARDLEY, PA 19067
33aNPI1164411146assigned 10/21/2005
33bProvider typeSpecialist
28Total paid$51K
24GClaims4,921
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#157 of 543
Median peer was paid$16K
This provider vs. median3.2×
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 | 1,294 | $1K | |
| 2020 | 299 | $3K | |
| 2021 | 2,144 | $30K | |
| 2022 | 1,184 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 55% | 1,967 | 1,000 | $28K |
| 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 | 17% | 862 | 822 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 901 | 884 | $8K |
| 94010 | 3.6% | 814 | 777 | $2K | |
| 99254 | 3.0% | 27 | 26 | $2K | |
| 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 | 2.7% | 79 | 73 | $1K |
| 94729 | <1% | 111 | 103 | $446.13 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | 13 | $376.69 |
| 94727 | <1% | 85 | 77 | $268.32 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | 12 | $183.12 |
| 94726 | <1% | 27 | 27 | $78.05 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 16 | 12 | $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 officialFLANAGAN, TIMOTHY (PRACTICE ADMINISTRATOR)