Physician
Pulmonary Critical Care and Sleep Medicine PLLC
Pulmonary Critical Care and Sleep Medicine PLLC was paid $358K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoPULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC
UTICA, NY 13502
UTICA, NY 13502
33aNPI1194080291assigned 07/05/2012
33bProvider typePulmonary Disease Physician
28Total paid$358K
24GClaims7,694
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New York
Rank by total paid#31 of 413
Median peer was paid$8K
This provider vs. median46×
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 | 1,266 | $53K | |
| 2019 | 1,536 | $64K | |
| 2020 | 1,152 | $46K | |
| 2021 | 1,115 | $47K | |
| 2022 | 1,255 | $50K | |
| 2023 | 853 | $58K | |
| 2024incomplete | 517 | $39K |
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 | 84% | 3,685 | 3,614 | $301K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.1% | 114 | 37 | $18K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.0% | 189 | 93 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 235 | 231 | $13K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 24 | 24 | $4K |
| 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 | 1.0% | 25 | 25 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 24 | 12 | $1K |
| 94726 | <1% | 13 | 13 | $454.07 | |
| 94729 | <1% | 12 | 12 | $442.41 | |
| 94010 | <1% | 13 | 13 | $259.75 | |
| 99406 | <1% | 12 | 12 | $141.28 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 12 | 12 | $121.59 |
1 more codes
| 94760 | <1% | 3,336 | $31.35 |
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 officialWASSEL, ANWAR (MANAGING)
| Provider | Location | Paid |
|---|---|---|
| Sleep Disorders Lab of Central New York, LLC | Utica, NY | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.