Louisville Pulmonary Care PLLC

Louisville Pulmonary Care PLLC was paid $705K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 45% of everything it billed.

33Billing provider infoLOUISVILLE PULMONARY CARE PLLC
LOUISVILLE, KY 40207

33aNPI1164499927assigned 03/01/2006

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$705K

24GClaims16,198

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Kentucky

Rank by total paid#4 of 8

Median peer was paid$16K

This provider vs. median44×

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	2,649	$90K
2019	1,719	$52K
2020	2,661	$124K
2021	3,425	$164K
2022	2,511	$121K
2023	1,870	$90K
2024incomplete	1,363	$64K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	45%	3,329	1,679	$314K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	24%	4,873	2,617	$167K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	4,421	2,047	$95K
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	13%	2,462	2,207	$94K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.9%	715	677	$21K
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	<1%	54	50	$4K
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%	42	40	$2K
95806		<1%	14	13	$2K
94726		<1%	79	70	$1K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	12	12	$1K
94729		<1%	29	29	$898.75
99205	Prolong outpt/office vis	<1%	15	14	$863.65

5 more codes

94060		<1%	52	$800.64
94010		<1%	42	$671.89
71046	Radiologic examination, chest; 2 views	<1%	29	$322.62
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	15	$119.02
99406		<1%	15	$79.38

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 officialHALLER, HAROLD (MAIN MANAGING PARTNER)