Physician
Foothill Pulmonary & Critical Care Consultants Medical Group INC.
Foothill Pulmonary & Critical Care Consultants Medical Group INC. was paid $991K by Medicaid between Jan 2018 and Mar 2024, across 9 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 58% of everything it billed.
33Billing provider infoFOOTHILL PULMONARY & CRITICAL CARE CONSULTANTS MEDICAL GROUP INC.
PASADENA, CA 91106
PASADENA, CA 91106
33aNPI1205862489assigned 06/23/2006
33bProvider typeInternal Medicine Physician
28Total paid$991K
24GClaims26,279
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#139 of 2,679
Median peer was paid$13K
This provider vs. median79×
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 | 6,629 | $172K | |
| 2019 | 7,461 | $300K | |
| 2020 | 9,661 | $424K | |
| 2021 | 2,298 | $90K | |
| 2022 | 117 | $2K | |
| 2023 | 97 | $2K | |
| 2024incomplete | 16 | $23.71 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 58% | 8,724 | 2,983 | $578K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 21% | 10,352 | 3,020 | $209K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 4,137 | 1,383 | $123K |
| 99223 | Prolong inpt eval add15 m | 3.5% | 456 | 444 | $35K |
| 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 | 1.9% | 741 | 708 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 667 | 655 | $13K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.2% | 1,151 | 407 | $12K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 38 | 37 | $1K |
| 99292 | <1% | 13 | 12 | $430.86 |
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 officialKURE, TANIA (ADMINISTRATOR)