Physician
Pulmonology & Bronchology
Pulmonology & Bronchology was paid $169K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 39% of everything it billed.
33Billing provider infoPULMONOLOGY & BRONCHOLOGY
CLAYTON, NC 27520
CLAYTON, NC 27520
33aNPI1164690731assigned 02/15/2008
33bProvider typePulmonary Disease Physician
28Total paid$169K
24GClaims7,538
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in North Carolina
Rank by total paid#11 of 34
Median peer was paid$82K
This provider vs. median2.1×
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 | 1,085 | $19K | |
| 2019 | 1,148 | $32K | |
| 2020 | 870 | $29K | |
| 2021 | 953 | $27K | |
| 2022 | 1,101 | $11K | |
| 2023 | 1,583 | $37K | |
| 2024incomplete | 798 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 39% | 1,301 | 1,233 | $66K |
| 94060 | 15% | 1,624 | 1,522 | $26K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 15% | 208 | 56 | $25K |
| 95070 | 11% | 1,436 | 1,343 | $18K | |
| 94618 | 9.9% | 1,601 | 1,503 | $17K | |
| 94729 | 3.0% | 484 | 442 | $5K | |
| 94726 | 2.8% | 454 | 413 | $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 | 2.6% | 133 | 131 | $4K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.4% | 12 | 12 | $2K |
| 93922 | <1% | 34 | 33 | $693.42 | |
| 95012 | <1% | 251 | 245 | $432.05 |
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 officialALI, MIR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| M & M Pediatrics, PLLC | Brownsville, TX | $6.49M |
| Gene Street, LLC. | Houston, TX | $1.99M |
| Ali Lung Clinic PC | Smithfield, NC | $375K |
| Infectious Diseases & Epidemiology PC | Hopewell, VA | $237K |
| M & M North, LLP | Brownsville, TX | $114K |
| Medina Primary Care PLLC | Plano, TX | $104K |
| M & M Pediatrics, PLLC | Brownsville, TX | $75K |
| Diagnostic Heart Center, INC | Arcadia, CA | $39K |
| Smithfield Pulmonology | Smithfield, NC | $30K |
| Mir M Ali M D a Professional Corporation | Anaheim, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.