Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Oklahoma City › NPI 1194122192
Physician

Southwest Pulmonary & Sleep Consultants

Southwest Pulmonary & Sleep Consultants was paid $303K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 40% of everything it billed.

33Billing provider infoSOUTHWEST PULMONARY & SLEEP CONSULTANTS
OKLAHOMA CITY, OK 73109
33aNPI1194122192assigned 11/20/2014
28Total paid$303K
24GClaims5,809
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in Oklahoma

Rank by total paid#4 of 14
Median peer was paid$38K
This provider vs. median8.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018831$20K
20191,022$37K
2020482$14K
2021417$22K
20221,242$83K
20231,134$78K
2024incomplete681$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 40% 1,904 564 $122K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 28% 2,308 780 $84K
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 16% 1,144 1,116 $49K
99223 Prolong inpt eval add15 m 12% 276 270 $37K
99222 Initial hospital care, per day, moderate complexity 3.3% 177 172 $10K

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 officialPARACHA, MOHAMMAD (OWNER)