Arizona Pulmonary Specialists LTD

Arizona Pulmonary Specialists LTD was paid $15.09M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 31% of everything it billed.

33Billing provider infoARIZONA PULMONARY SPECIALISTS LTD
SCOTTSDALE, AZ 85258

33aNPI1215986468assigned 05/07/2006

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$15.09M

24GClaims225,201

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

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

Rank by total paid#1 of 31

Median peer was paid$567K

This provider vs. median27×

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	34,973	$1.78M
2019	34,167	$1.70M
2020	40,036	$2.48M
2021	43,491	$3.40M
2022	28,546	$2.08M
2023	25,119	$2.01M
2024incomplete	18,869	$1.63M

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	31%	33,063	14,825	$4.70M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	28%	64,278	27,083	$4.22M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	48,591	17,239	$2.05M
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	7.4%	21,838	20,725	$1.12M
99308	Subsequent nursing facility care, per day, straightforward	6.5%	27,594	6,929	$975K
99309	Subsequent nursing facility care, per day, low to moderate complexity	4.8%	14,646	5,704	$722K
99255		4.1%	3,674	3,619	$621K
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	1.2%	2,154	2,105	$188K
99306	Prolong nursin fac eval 15m	<1%	1,161	1,133	$115K
99223	Prolong inpt eval add15 m	<1%	1,323	1,252	$109K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	1,588	1,496	$103K
94010		<1%	2,325	2,238	$39K

18 more codes

99254		<1%	248	$32K
99310	Prolong nursin fac eval 15m	<1%	336	$26K
99205	Prolong outpt/office vis	<1%	216	$23K
94060		<1%	555	$14K
71046	Radiologic examination, chest; 2 views	<1%	612	$8K
99203	Doctor's office visit, new patient (routine)	<1%	104	$6K
99292		<1%	71	$6K
99222	Initial hospital care, per day, moderate complexity	<1%	64	$4K
94618		<1%	150	$3K
90688		<1%	182	$2K
94729		<1%	90	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	104	$2K
94726		<1%	86	$2K
99305		<1%	13	$540.07
99307		<1%	19	$339.73
99213	Doctor's office visit, returning patient (routine)	<1%	17	$288.78
94664		<1%	12	$88.33
85018		<1%	87	$87.77

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 officialBLAINE, TIFFANY (PRACTICE ADMINISTRATOR)