Physician
Sleep & Pulmonary Care Center, P.C.
Sleep & Pulmonary Care Center, P.C. was paid $419K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoSLEEP & PULMONARY CARE CENTER, P.C.
DECATUR, AL 35601
DECATUR, AL 35601
33aNPI1346406469assigned 07/29/2008
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$419K
24GClaims12,999
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Alabama
Rank by total paid#1 of 7
Median peer was paid$73K
This provider vs. median5.7×
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 | 2,865 | $108K | |
| 2019 | 3,659 | $145K | |
| 2020 | 2,604 | $70K | |
| 2021 | 1,578 | $38K | |
| 2022 | 1,100 | $26K | |
| 2023 | 738 | $16K | |
| 2024incomplete | 455 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 19% | 2,273 | 1,977 | $81K |
| 95811 | 19% | 407 | 268 | $79K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 12% | 751 | 137 | $49K |
| 95805 | 8.7% | 199 | 137 | $36K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 1,243 | 1,088 | $28K |
| 94060 | 6.6% | 1,803 | 1,418 | $27K | |
| 94726 | 5.8% | 1,785 | 1,407 | $24K | |
| 94729 | 5.6% | 1,795 | 1,414 | $24K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.6% | 833 | 166 | $24K |
| 93880 | 3.9% | 312 | 202 | $16K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.6% | 350 | 225 | $15K |
| 94618 | 1.5% | 640 | 493 | $6K |
4 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 88 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 461 | $4K |
| 99443 | <1% | 31 | $184.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 28 | $73.72 |
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 officialNAJJAR, MAMOUN (PRESIDENT)