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

Pulmonary Medicine Associates INC

Pulmonary Medicine Associates INC was paid $38K by Medicaid between Jan 2018 and Sep 2020, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 83% of everything it billed.

33Billing provider infoPULMONARY MEDICINE ASSOCIATES INC
TULSA, OK 74136
33aNPI1295760791assigned 07/12/2006
28Total paid$38K
24GClaims1,259
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers

Next to other Pulmonary Disease Physician providers in Oklahoma

Rank by total paid#8 of 14
Median peer was paid$38K
This provider vs. median1.0×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018507$18K
2019535$14K
2020217$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 83% 1,108 301 $31K
99223 Prolong inpt eval add15 m 11% 55 54 $4K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.6% 54 12 $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 <1% 12 12 $149.46
94729 <1% 15 15 $68.24
94010 <1% 15 15 $54.42

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 officialSCHELBAR, E (PRESIDENT)