Pulmonary Consultants,inc

Pulmonary Consultants,inc was paid $596K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 54% of everything it billed.

33Billing provider infoPULMONARY CONSULTANTS,INC
SAINT LOUIS, MO 63136

33aNPI1164534210assigned 08/31/2006

33bProvider typePulmonary Disease Physician

28Total paid$596K

24GClaims21,691

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Missouri

Rank by total paid#2 of 35

Median peer was paid$20K

This provider vs. median29×

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	4,482	$101K
2019	3,552	$80K
2020	3,225	$82K
2021	2,428	$61K
2022	2,837	$91K
2023	3,293	$119K
2024incomplete	1,874	$62K

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	54%	11,529	3,414	$322K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	23%	3,430	856	$136K
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	8.1%	1,381	1,143	$48K
99223	Prolong inpt eval add15 m	5.8%	1,059	946	$35K
94375		3.5%	2,237	1,717	$21K
94660		2.8%	805	677	$17K
99254		1.4%	83	82	$9K
94618		1.1%	969	360	$7K
94621		<1%	153	54	$2K
94729		<1%	29	26	$421.96
94200		<1%	16	13	$120.38

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 officialJACOBS, MYRON (PRESIDENT)