Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Port Charlotte › NPI 1215367115
Physician

Pulmonary Sleep and Critical Care Specialists PL

Pulmonary Sleep and Critical Care Specialists PL was paid $61K by Medicaid between Jan 2019 and Oct 2023, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 45% of everything it billed.

33Billing provider infoPULMONARY SLEEP AND CRITICAL CARE SPECIALISTS PL
PORT CHARLOTTE, FL 33980
33aNPI1215367115assigned 11/14/2013
28Total paid$61K
24GClaims2,776
24DCodes billed5
24AFirst – last monthJan 2019 – Oct 2023
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Florida

Rank by total paid#23 of 55
Median peer was paid$37K
This provider vs. median1.7×

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$10K2018201920202021202220232024
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
2019426$7K
20201,209$21K
2021919$29K
2022122$4K
2023100$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 45% 624 203 $27K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 45% 1,614 602 $27K
99223 Prolong inpt eval add15 m 5.5% 123 81 $3K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.1% 315 150 $3K
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 0% 100 91 $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 officialMONGE, FABRIZIO (MEMBER)