East Bay Regional Critical Care and Pulmonary Medicine, INC.

East Bay Regional Critical Care and Pulmonary Medicine, INC. was paid $407K by Medicaid between Jan 2018 and Jan 2021, across 11 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 93% of everything it billed.

33Billing provider infoEAST BAY REGIONAL CRITICAL CARE AND PULMONARY MEDICINE, INC.
OAKLAND, CA 94609

33aNPI1255385415assigned 05/20/2006

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$407K

24GClaims5,758

24DCodes billed11

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

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

Rank by total paid#28 of 136

Median peer was paid$38K

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	1,493	$107K
2019	1,867	$111K
2020	2,121	$171K
2021	277	$18K

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	93%	4,412	2,434	$379K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.6%	527	336	$19K
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%	48	44	$3K
94375		<1%	329	325	$2K
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%	30	26	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	49	24	$681.05
94727		<1%	130	130	$570.63
94729		<1%	162	162	$537.50
94618		<1%	33	29	$254.42
94617		<1%	14	13	$158.70
94060		<1%	24	24	$51.99

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 officialMCFEELY, JAMES (CFO)