Riverside Pulmonary Associates, INC
Riverside Pulmonary Associates, INC was paid $505K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 52% of everything it billed.
33Billing provider infoRIVERSIDE PULMONARY ASSOCIATES, INC
COLUMBUS, OH 43214
COLUMBUS, OH 43214
33aNPI1235135641assigned 06/22/2005
33bProvider typeSpecialist
28Total paid$505K
24GClaims17,819
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#34 of 219
Median peer was paid$46K
This provider vs. median11×
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 | 3,978 | $81K | |
| 2019 | 3,010 | $71K | |
| 2020 | 2,598 | $76K | |
| 2021 | 4,110 | $123K | |
| 2022 | 2,442 | $78K | |
| 2023 | 1,427 | $60K | |
| 2024incomplete | 254 | $15K |
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 | 52% | 10,079 | 4,775 | $260K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 4,590 | 1,209 | $87K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 15% | 1,477 | 662 | $75K |
| 99223 | Prolong inpt eval add15 m | 7.1% | 725 | 671 | $36K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.4% | 322 | 303 | $22K |
| 95811 | 1.8% | 118 | 104 | $9K | |
| 99255 | 1.8% | 113 | 109 | $9K | |
| 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 | 1.0% | 105 | 99 | $5K |
| 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% | 12 | 12 | $920.30 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 139 | 130 | $0.00 |
| 1123F | 0% | 139 | 130 | $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 officialMUTCHLER, GAIL (PRESIDENT)