Physician
Pulmonary and Critical Care Consultants, PLLC
Pulmonary and Critical Care Consultants, PLLC was paid $220K by Medicaid between Jan 2018 and Dec 2018, across 20 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 39% of everything it billed.
33Billing provider infoPULMONARY AND CRITICAL CARE CONSULTANTS, PLLC
LANSING, MI 48912
LANSING, MI 48912
33aNPI1366530461assigned 10/11/2006
33bProvider typePulmonary Disease Physician
28Total paid$220K
24GClaims4,505
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Pulmonary Disease Physician providers in Michigan
Rank by total paid#24 of 63
Median peer was paid$118K
This provider vs. median1.9×
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 | 4,505 | $220K |
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 | 39% | 784 | 203 | $86K |
| 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 | 11% | 501 | 484 | $25K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 11% | 381 | 380 | $25K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 675 | 258 | $25K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.2% | 140 | 137 | $11K |
| 95811 | 4.5% | 155 | 153 | $10K | |
| 94060 | 3.6% | 510 | 503 | $8K | |
| 99222 | Initial hospital care, per day, moderate complexity | 3.5% | 117 | 114 | $8K |
| 94729 | 2.5% | 382 | 375 | $6K | |
| 94726 | 2.2% | 377 | 372 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 134 | 127 | $4K |
| 99223 | Prolong inpt eval add15 m | 1.3% | 25 | 25 | $3K |
8 more codes
| 94010 | <1% | 146 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 36 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 47 | $405.28 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 37 | $310.23 |
| 90756 | <1% | 15 | $273.48 | |
| 95012 | <1% | 14 | $110.07 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $91.00 |
| 99406 | <1% | 14 | $73.08 |
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 officialFINN, RUTHANNE (PRACTICE ADMINISTRATOR)