Physician
Pulmonary Medicine of Dayton INC.
Pulmonary Medicine of Dayton INC. was paid $1.01M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 33% of everything it billed.
33Billing provider infoPULMONARY MEDICINE OF DAYTON INC.
MIAMISBURG, OH 45342
MIAMISBURG, OH 45342
33aNPI1205806403assigned 01/23/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.01M
24GClaims31,179
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#48 of 663
Median peer was paid$17K
This provider vs. median58×
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 | 3,203 | $90K | |
| 2019 | 4,143 | $125K | |
| 2020 | 4,317 | $163K | |
| 2021 | 6,368 | $211K | |
| 2022 | 6,476 | $203K | |
| 2023 | 4,038 | $117K | |
| 2024incomplete | 2,634 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 33% | 11,248 | 5,647 | $333K |
| 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 | 25% | 5,841 | 5,120 | $250K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 23% | 4,162 | 1,992 | $235K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.1% | 4,062 | 1,918 | $82K |
| 99223 | Prolong inpt eval add15 m | 3.5% | 582 | 533 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 1,161 | 1,060 | $34K |
| 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 | 1.8% | 285 | 254 | $18K |
| 94060 | <1% | 744 | 674 | $9K | |
| 94729 | <1% | 1,343 | 1,201 | $7K | |
| 94726 | <1% | 1,156 | 1,032 | $6K | |
| 99442 | <1% | 158 | 149 | $3K | |
| 99443 | <1% | 31 | 31 | $949.03 |
5 more codes
| 94010 | <1% | 169 | $836.15 | |
| 99406 | <1% | 28 | $242.77 | |
| 94664 | <1% | 21 | $102.26 | |
| 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% | 176 | $60.17 |
| 96160 | <1% | 12 | $28.76 |
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 officialADCOCK, KATIE (PRACTICE MANAGER)