Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Dallas Pulmonary & Critical Care PA

Dallas Pulmonary & Critical Care PA was paid $293K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 92% of everything it billed.

33Billing provider infoDALLAS PULMONARY & CRITICAL CARE PA
DALLAS, TX 75208
33aNPI1235402728assigned 02/15/2012
28Total paid$293K
24GClaims5,019
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#9 of 92
Median peer was paid$8K
This provider vs. median35×

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$10K$20K$30K2018201920202021202220232024
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
2018119$539.55
201995$1K
2020648$17K
20211,190$93K
20221,306$74K
20231,342$87K
2024incomplete319$20K
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 92% 3,150 1,336 $270K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.0% 693 342 $12K
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% 87 73 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 93 38 $2K
94060 <1% 336 308 $2K
94729 <1% 300 274 $1K
94726 <1% 190 174 $1K
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% 42 41 $856.67
95816 <1% 36 31 $682.73
99223 Prolong inpt eval add15 m <1% 15 13 $642.75
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 50 44 $383.54
94618 <1% 27 25 $313.56

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 officialTRAN, TUNG (PRESIDENT)