Physician
Terre Haute Pulmonary & Pediatric Clinic, LLC
Terre Haute Pulmonary & Pediatric Clinic, LLC was paid $4.81M by Medicaid between Jan 2018 and Apr 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoTERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC
TERRE HAUTE, IN 47802
TERRE HAUTE, IN 47802
33aNPI1326152984assigned 08/19/2006
33bProvider typeInfectious Disease Physician
28Total paid$4.81M
24GClaims151,313
24DCodes billed74
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Infectious Disease Physician providers in Indiana
Rank by total paid#1 of 19
Median peer was paid$12K
This provider vs. median391×
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 | 32,030 | $637K | |
| 2019 | 36,302 | $997K | |
| 2020 | 22,880 | $732K | |
| 2021 | 18,430 | $749K | |
| 2022 | 18,562 | $736K | |
| 2023 | 19,160 | $762K | |
| 2024incomplete | 3,949 | $198K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 44,155 | 35,940 | $2.10M |
| 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 | 16% | 16,304 | 14,596 | $749K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 4,778 | 4,347 | $400K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 2,994 | 2,756 | $255K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 2,598 | 2,356 | $218K |
| 94729 | 2.4% | 6,965 | 6,387 | $116K | |
| 94060 | 2.4% | 7,023 | 6,446 | $116K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 5,727 | 5,122 | $105K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 1,204 | 1,104 | $103K |
| 94727 | 2.0% | 7,025 | 6,450 | $95K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 8,838 | 7,832 | $88K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 1,054 | 938 | $71K |
62 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.3% | 814 | $61K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.1% | 229 | $52K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 624 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,292 | $41K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,167 | $35K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,067 | $32K |
| 99223 | Prolong inpt eval add15 m | <1% | 454 | $25K |
| 95806 | <1% | 571 | $25K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,291 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 996 | $14K |
| 95811 | <1% | 46 | $12K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,325 | $9K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 535 | $6K |
| 90474 | <1% | 498 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 30 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 125 | $3K |
| 94618 | <1% | 92 | $1K | |
| 90674 | <1% | 163 | $854.83 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 21 | $833.63 |
| 94760 | <1% | 609 | $777.47 | |
| 90670 | <1% | 2,752 | $616.53 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 42 | $553.49 |
| 90733 | <1% | 178 | $378.24 | |
| 90651 | <1% | 484 | $278.39 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $259.38 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 129 | $167.37 |
| 90686 | <1% | 1,856 | $119.74 | |
| 90688 | <1% | 44 | $116.60 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 19 | $99.32 |
| 90723 | <1% | 1,958 | $76.86 | |
| 95012 | <1% | 19 | $26.58 | |
| 90648 | <1% | 2,884 | $21.61 | |
| 3023F | <1% | 1,423 | $20.00 | |
| 90633 | <1% | 916 | $4.64 | |
| 90710 | <1% | 501 | $3.62 | |
| 90681 | <1% | 508 | $1.21 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 5,820 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 723 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 775 | $0.00 |
| 90715 | 0% | 25 | $0.00 | |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 1,196 | $0.00 |
| 4004F | 0% | 893 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,325 | $0.00 |
| 4040F | 0% | 1,084 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 16 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 213 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 128 | $0.00 |
| 90700 | 0% | 66 | $0.00 | |
| 90685 | 0% | 142 | $0.00 | |
| 90653 | 0% | 30 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 13 | $0.00 |
| 1036F | 0% | 2,129 | $0.00 | |
| G8924 | Spirometry results documented (fev1/fvc < 70%) | 0% | 655 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 299 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 28 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 17 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 168 | $0.00 |
| 90677 | 0% | 124 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 16 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 16 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 28 | $0.00 |
| 90696 | 0% | 40 | $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 officialBHUPTANI, ANAND (OWNER)