Lung and Sleep Disorder Institute PLLC

Lung and Sleep Disorder Institute PLLC was paid $793K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 95806, — 31% of everything it billed.

33Billing provider infoLUNG AND SLEEP DISORDER INSTITUTE PLLC
SOMERSET, KY 42503

33aNPI1376688614assigned 02/21/2007

33bProvider typeFamily Nurse Practitioner

28Total paid$793K

24GClaims22,091

24DCodes billed15

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#26 of 424

Median peer was paid$19K

This provider vs. median42×

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	3,498	$112K
2019	3,031	$118K
2020	3,576	$130K
2021	3,680	$112K
2022	3,018	$107K
2023	2,770	$106K
2024incomplete	2,518	$107K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95806		31%	1,672	1,498	$247K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	7,368	6,715	$143K
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	17%	2,002	1,815	$134K
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	14%	3,493	3,218	$109K
94726		7.3%	2,236	2,046	$58K
94729		7.2%	2,292	2,095	$57K
94010		3.4%	2,268	2,074	$27K
94060		<1%	207	195	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	83	66	$4K
99223	Prolong inpt eval add15 m	<1%	82	74	$3K
94618		<1%	126	117	$2K
71046	Radiologic examination, chest; 2 views	<1%	143	137	$2K

3 more codes

99233	Hospital visit by a doctor, follow-up day (complex)	<1%	84	$1K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	12	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	23	$341.86

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 officialSCHULDHEISZ, SANDRA (OWNER)