Pulmonary Associates PA

Pulmonary Associates PA was paid $162K by Medicaid between Jan 2018 and Jul 2022, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 57% of everything it billed.

33Billing provider infoPULMONARY ASSOCIATES PA
LITTLE ROCK, AR 72204

33aNPI1215947825assigned 08/08/2006

33bProvider typePulmonary Disease Physician

28Total paid$162K

24GClaims4,202

24DCodes billed4

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other Pulmonary Disease Physician providers in Arkansas

Rank by total paid#5 of 13

Median peer was paid$57K

This provider vs. median2.8×

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	831	$19K
2019	1,215	$37K
2020	1,737	$79K
2021	224	$20K
2022	195	$7K

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	57%	1,101	317	$92K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	21%	1,330	397	$35K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	21%	1,741	597	$34K
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%	30	27	$748.77

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 officialGIGLIA, ANTHONY (PRESIDENT)