North Texas Pulmonary Assoc.

North Texas Pulmonary Assoc. was paid $29K by Medicaid between Jan 2018 and Dec 2023, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 53% of everything it billed.

33Billing provider infoNORTH TEXAS PULMONARY ASSOC.
CLEBURNE, TX 76033

33aNPI1245427061assigned 09/25/2007

33bProvider typePulmonary Disease Physician

28Total paid$29K

24GClaims982

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#31 of 92

Median peer was paid$8K

This provider vs. median3.5×

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	127	$949.65
2019	134	$566.84
2020	186	$3K
2021	225	$5K
2022	273	$20K
2023	37	$305.85

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	53%	120	28	$15K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	38%	643	237	$11K
99223	Prolong inpt eval add15 m	5.9%	36	35	$2K
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	3.9%	121	116	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	62	56	$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 officialANYADIEGWU, ANDREW (DIRECTOR)