Physician
Crystal City Pulmonary Critical Care & Sleep Medicine
Crystal City Pulmonary Critical Care & Sleep Medicine was paid $24K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoCRYSTAL CITY PULMONARY CRITICAL CARE & SLEEP MEDICINE
FESTUS, MO 63028
FESTUS, MO 63028
33aNPI1326186602assigned 02/01/2007
33bProvider typePulmonary Disease Physician
28Total paid$24K
24GClaims859
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Missouri
Rank by total paid#16 of 35
Median peer was paid$20K
This provider vs. median1.2×
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 | 258 | $6K | |
| 2019 | 93 | $2K | |
| 2021 | 127 | $3K | |
| 2022 | 101 | $3K | |
| 2023 | 108 | $3K | |
| 2024incomplete | 172 | $7K |
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 | 76% | 646 | 629 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.7% | 82 | 82 | $1K |
| 99223 | Prolong inpt eval add15 m | 4.4% | 18 | 18 | $1K |
| 95806 | 4.4% | 43 | 40 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.7% | 20 | 17 | $883.66 |
| 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 | 3.3% | 13 | 13 | $789.74 |
| 94060 | <1% | 13 | 13 | $231.03 | |
| 94729 | <1% | 12 | 12 | $216.75 | |
| 94726 | <1% | 12 | 12 | $167.57 |
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 officialINGRAM, SARAH (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Butler County Schools | Morgantown, KY | $289K |
| Critical Care Pulmonary & Sleep Medicine Assoc LLC | Festus, MO | $57K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.