Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pulmonary Specialists of Tyler PA

Pulmonary Specialists of Tyler PA was paid $6K by Medicaid between Jan 2018 and Aug 2019, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoPULMONARY SPECIALISTS OF TYLER PA
TYLER, TX 75701
33aNPI1386758902assigned 08/19/2006
33bProvider typeAllergy Physician
28Total paid$6K
24GClaims875
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Allergy Physician providers in Texas

Rank by total paid#23 of 27
Median peer was paid$342K
This provider vs. median0.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JONES, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018660$4K
2019215$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 56% 556 543 $4K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 37% 235 122 $2K
99223 Prolong inpt eval add15 m 5.6% 29 29 $353.22
94010 <1% 15 15 $47.59
94729 <1% 27 27 $30.24
94726 0% 13 13 $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 officialJONES, DAVID (PARTNER)
Same official

Other billing entities under JONES, DAVID

Full network →
ProviderLocationPaid
Allegiant Home Care, LLCBrooklyn, NY$15.57M
Small BitesPine Bluff, AR$9.62M
Oaks on the Bay, LLCClearwater, FL$6.22M
North Caddo Hospital Service DistrictPlain Dealing, LA$4.90M
North Caddo Hospital Service DistrictVivian, LA$3.42M
Small BitesLittle Rock, AR$2.24M
Freudenthal Home Health, LLCSaint Joseph, MO$2.08M
Freedom Home Health Care, INC.Ankeny, IA$662K
North Caddo Hospital Service DistrictVivian, LA$610K
David L Jones DDS PCRoanoke, VA$571K
North Caddo Hospital Service DistrictVivian, LA$396K
Wellspring Family & Community Institute, LLCHouston, TX$233K
Northwest Eye Associates PCWoodward, OK$233K
Jones Family Eyecare LLCBrandon, SD$113K
Allegiant Home CareNew York, NY$48K
Omni Dental Centres, LLPCouncil Bluffs, IA$29K
North Caddo Anesthesia BillingVivian, LA$16K
Scott Eye Care P L L CShattuck, OK$7K
Georgia Pediatric CardiologyStockbridge, GA$2K
DLDC, INCOmaha, NE$808.11

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.