Physician
The Pulmonary and Sleep Consultants, LLC
The Pulmonary and Sleep Consultants, LLC was paid $692K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoTHE PULMONARY AND SLEEP CONSULTANTS, LLC
KNOXVILLE, TN 37934
KNOXVILLE, TN 37934
33aNPI1174738421assigned 05/11/2007
33bProvider typePulmonary Disease Physician
28Total paid$692K
24GClaims29,218
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Tennessee
Rank by total paid#2 of 62
Median peer was paid$26K
This provider vs. median26×
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 | 7,001 | $176K | |
| 2019 | 7,191 | $182K | |
| 2020 | 4,085 | $90K | |
| 2021 | 3,926 | $82K | |
| 2022 | 2,956 | $65K | |
| 2023 | 2,286 | $53K | |
| 2024incomplete | 1,773 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 6,767 | 6,223 | $227K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,174 | 2,892 | $82K |
| 94729 | 11% | 3,697 | 3,428 | $76K | |
| 94726 | 11% | 3,694 | 3,427 | $75K | |
| 94660 | 8.9% | 3,009 | 2,724 | $62K | |
| 94010 | 7.2% | 3,706 | 3,437 | $50K | |
| 95806 | 6.8% | 404 | 380 | $47K | |
| 94762 | 4.3% | 2,679 | 1,162 | $30K | |
| 94618 | 2.0% | 965 | 866 | $14K | |
| 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 | 1.6% | 129 | 104 | $11K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.2% | 63 | 53 | $8K |
| 94060 | <1% | 122 | 98 | $4K |
4 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 officialCOOK, DONNA (PRACTICE MANAGER)