Physician
Pulmonary Medical Consultants INC
Pulmonary Medical Consultants INC was paid $1.05M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 94004, — 32% of everything it billed.
33Billing provider infoPULMONARY MEDICAL CONSULTANTS INC
DARBY, PA 19023
DARBY, PA 19023
33aNPI1215993233assigned 04/26/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$1.05M
24GClaims31,413
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Pennsylvania
Rank by total paid#1 of 58
Median peer was paid$5K
This provider vs. median230×
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 | 3,743 | $49K | |
| 2019 | 372 | $6K | |
| 2020 | 1,704 | $44K | |
| 2021 | 6,795 | $209K | |
| 2022 | 6,128 | $224K | |
| 2023 | 6,202 | $243K | |
| 2024incomplete | 6,469 | $272K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 94004 | 32% | 10,332 | 3,058 | $336K | |
| 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 | 20% | 5,115 | 5,024 | $214K |
| 94003 | 15% | 5,569 | 538 | $161K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 4,865 | 1,013 | $161K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.0% | 2,141 | 1,127 | $63K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.7% | 879 | 338 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 610 | 608 | $17K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.1% | 74 | 72 | $11K |
| 99243 | <1% | 114 | 114 | $10K | |
| 99307 | <1% | 280 | 103 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 195 | 148 | $4K |
| 99305 | <1% | 61 | 59 | $4K |
10 more codes
| 94726 | <1% | 423 | $3K | |
| 94729 | <1% | 411 | $2K | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 27 | $2K |
| 94375 | <1% | 137 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 27 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $582.01 |
| 94060 | <1% | 26 | $143.39 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 57 | $34.03 |
| 94010 | 0% | 13 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 45 | $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 officialKORMAN, MICHAEL (PRESIDENT)