Scottsdale Pulmonary and Critical Care, LLC

Scottsdale Pulmonary and Critical Care, LLC was paid $1.83M by Medicaid between Jan 2020 and Nov 2024, across 9 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 infoSCOTTSDALE PULMONARY AND CRITICAL CARE, LLC
SCOTTSDALE, AZ 85251

33aNPI1316505977assigned 05/30/2019

33bProvider typePulmonary Disease Physician

28Total paid$1.83M

24GClaims26,599

24DCodes billed9

24AFirst – last monthJan 2020 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Arizona

Rank by total paid#3 of 37

Median peer was paid$132K

This provider vs. median14×

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	5,003	$345K
2021	5,525	$483K
2022	6,018	$384K
2023	6,604	$371K
2024incomplete	3,449	$246K

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%	8,286	2,416	$960K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	24%	8,811	2,806	$438K
99309	Subsequent nursing facility care, per day, low to moderate complexity	9.3%	3,860	2,159	$170K
99308	Subsequent nursing facility care, per day, straightforward	8.2%	4,035	1,793	$150K
99223	Prolong inpt eval add15 m	4.6%	994	913	$85K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	459	264	$15K
99310	Prolong nursin fac eval 15m	<1%	113	77	$7K
99255		<1%	13	13	$2K
31500		<1%	28	26	$2K

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 officialSHAH, ALPA (DIRECTOR/PHYSICIAN)

Same official

Other billing entities under SHAH, ALPA

Full network →

Provider	Location	Paid
Scottsdale Medical Associates,inc	Scottsdale, AZ	$101K
Allure Pharmacy LLC	East Brunswick, NJ	$0.00

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