Prestige Pulmonary Consultants INC

Prestige Pulmonary Consultants INC was paid $2.17M by Medicaid between Jul 2020 and Nov 2024, across 16 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 42% of everything it billed.

33Billing provider infoPRESTIGE PULMONARY CONSULTANTS INC
MONTEREY PARK, CA 91754

33aNPI1295370351assigned 11/13/2019

33bProvider typePulmonary Disease Physician

28Total paid$2.17M

24GClaims48,641

24DCodes billed16

24AFirst – last monthJul 2020 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in California

Rank by total paid#10 of 225

Median peer was paid$53K

This provider vs. median41×

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
2020	3,347	$181K
2021	11,095	$532K
2022	10,089	$472K
2023	13,655	$646K
2024incomplete	10,455	$344K

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	42%	11,576	3,776	$921K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	32%	22,827	6,735	$702K
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	13%	8,743	8,674	$273K
99310	Prolong nursin fac eval 15m	5.1%	1,913	518	$110K
99223	Prolong inpt eval add15 m	3.2%	992	974	$69K
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	2.6%	1,098	1,094	$56K
94060		<1%	119	119	$18K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	578	305	$15K
99292		<1%	196	124	$5K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	77	35	$4K
99407		<1%	12	12	$59.79
94727		<1%	119	119	$50.55

4 more codes

94375	<1%	118	$42.56
94729	<1%	119	$35.90
94200	0%	77	$0.00
94150	0%	77	$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 officialCHEN, STEPHEN (OWNER)

Same official

Other billing entities under CHEN, STEPHEN

Full network →

Provider	Location	Paid
Babylon Healthcare, PLLC	Austin, TX	$1.13M
Babylon Healthcare INC.	Austin, TX	$913K
Stephen P Chen MD INC	Monterey Park, CA	$267K
Babylon Healthcare, PLLC	Atlanta, GA	$109K
Babylon Healthcare INC.	Austin, TX	$43K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.