Pulmonary Associates of Southside Virginia, INC
Pulmonary Associates of Southside Virginia, INC was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 21% of everything it billed.
33Billing provider infoPULMONARY ASSOCIATES OF SOUTHSIDE VIRGINIA, INC
SOUTH BOSTON, VA 24592
SOUTH BOSTON, VA 24592
33aNPI1265436117assigned 06/09/2005
33bProvider typeSpecialist
28Total paid$1.26M
24GClaims51,964
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#21 of 231
Median peer was paid$47K
This provider vs. median27×
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 | 9,387 | $86K | |
| 2019 | 9,920 | $194K | |
| 2020 | 7,024 | $185K | |
| 2021 | 7,289 | $218K | |
| 2022 | 7,041 | $194K | |
| 2023 | 6,504 | $213K | |
| 2024incomplete | 4,799 | $174K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 21% | 4,609 | 3,664 | $271K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 7,533 | 6,193 | $237K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 10,259 | 3,552 | $198K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 5,801 | 2,984 | $189K |
| 94010 | 9.2% | 10,970 | 6,770 | $116K | |
| 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 | 5.9% | 2,216 | 1,606 | $74K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.6% | 1,510 | 1,179 | $46K |
| 94060 | 3.6% | 4,184 | 1,588 | $46K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.0% | 1,540 | 1,280 | $38K |
| 99220 | 1.1% | 247 | 217 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 317 | 274 | $7K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,416 | 905 | $6K |
12 more codes
| 94729 | <1% | 376 | $6K | |
| 99217 | <1% | 210 | $6K | |
| 94727 | <1% | 356 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 37 | $3K |
| 90674 | <1% | 94 | $1K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 12 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 80 | $584.11 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 75 | $510.01 |
| 90686 | <1% | 62 | $487.97 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $128.50 |
| 90688 | <1% | 32 | $90.92 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $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 officialHARDY, ANNETTE (SECRETARY)