South Florida Pulmonary & Critical Care Associates P.A.

South Florida Pulmonary & Critical Care Associates P.A. was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoSOUTH FLORIDA PULMONARY & CRITICAL CARE ASSOCIATES P.A.
MIAMI, FL 33145

33aNPI1205834710assigned 07/08/2005

33bProvider typePulmonary Disease Physician

28Total paid$1.31M

24GClaims87,297

24DCodes billed13

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Florida

Rank by total paid#5 of 142

Median peer was paid$11K

This provider vs. median118×

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	7,146	$19K
2019	17,438	$205K
2020	11,472	$180K
2021	12,420	$191K
2022	14,576	$243K
2023	14,423	$265K
2024incomplete	9,822	$209K

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	53%	26,293	17,969	$699K
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	37%	4,724	3,687	$487K
94729		2.5%	7,687	5,681	$32K
94060		2.3%	7,728	5,773	$30K
94727		1.9%	7,688	5,677	$24K
71046	Radiologic examination, chest; 2 views	1.5%	9,484	6,849	$20K
94664		<1%	2,987	2,431	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	135	95	$2K
99406		<1%	208	186	$2K
94760		<1%	17,869	12,782	$1K
94618		<1%	247	175	$669.39
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	2,155	1,616	$656.93

1 more codes

G0296

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)

<1%

$311.62

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 officialREDONDO, ANDRES (PRESIDENT)