Physician
Specialists in Pulmonary & Critical Care, Corp
Specialists in Pulmonary & Critical Care, Corp was paid $776K by Medicaid between Jan 2018 and Jan 2024, across 17 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 31% of everything it billed.
33Billing provider infoSPECIALISTS IN PULMONARY & CRITICAL CARE, CORP
GARFIELD HTS, OH 44125
GARFIELD HTS, OH 44125
33aNPI1215114822assigned 01/25/2008
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$776K
24GClaims37,008
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#6 of 31
Median peer was paid$60K
This provider vs. median13×
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 | 6,793 | $116K | |
| 2019 | 7,769 | $130K | |
| 2020 | 6,804 | $159K | |
| 2021 | 9,001 | $201K | |
| 2022 | 5,640 | $136K | |
| 2023 | 943 | $30K | |
| 2024incomplete | 58 | $4K |
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 | 31% | 10,947 | 2,367 | $240K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 19% | 8,454 | 611 | $149K |
| 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 | 13% | 2,829 | 2,414 | $101K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 7,427 | 1,944 | $88K |
| 99253 | 6.5% | 1,334 | 1,070 | $50K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 6.2% | 1,407 | 343 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 1,432 | 1,149 | $32K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 462 | 388 | $23K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.2% | 1,257 | 1,070 | $17K |
| 99223 | Prolong inpt eval add15 m | 1.3% | 336 | 285 | $10K |
| 94060 | <1% | 301 | 266 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 250 | 187 | $4K |
5 more codes
| 94729 | <1% | 190 | $2K | |
| 90756 | <1% | 142 | $2K | |
| 94727 | <1% | 147 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $360.75 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 67 | $0.00 |
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 officialWEINER, DAVID (PRESIDENT)