Physician
Pulmonary Associates LLC
Pulmonary Associates LLC was paid $873K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 25% of everything it billed.
33Billing provider infoPULMONARY ASSOCIATES LLC
TROY, OH 45373
TROY, OH 45373
33aNPI1386942910assigned 03/07/2011
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$873K
24GClaims40,477
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#4 of 31
Median peer was paid$60K
This provider vs. median14×
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 | 9,000 | $147K | |
| 2019 | 9,763 | $156K | |
| 2020 | 7,697 | $155K | |
| 2021 | 5,259 | $122K | |
| 2022 | 2,688 | $74K | |
| 2023 | 3,450 | $108K | |
| 2024incomplete | 2,620 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 25% | 8,238 | 1,270 | $218K |
| 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 | 22% | 4,742 | 4,061 | $192K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 7,460 | 6,576 | $190K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 8.0% | 2,073 | 535 | $70K |
| 94060 | 4.3% | 1,505 | 1,388 | $37K | |
| 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 | 3.6% | 537 | 453 | $32K |
| 99223 | Prolong inpt eval add15 m | 2.8% | 674 | 609 | $24K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.6% | 1,186 | 1,033 | $23K |
| 94729 | 2.1% | 1,505 | 1,387 | $18K | |
| 99292 | 2.0% | 870 | 258 | $17K | |
| 94727 | 1.7% | 1,510 | 1,391 | $15K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 187 | 179 | $9K |
29 more codes
| 99220 | <1% | 162 | $8K | |
| 94618 | <1% | 462 | $8K | |
| 99217 | <1% | 190 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 108 | $3K |
| 99225 | <1% | 173 | $3K | |
| 90686 | <1% | 63 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 64 | $565.11 |
| 1036F | 0% | 965 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 356 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 63 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 717 | $0.00 |
| 3017F | 0% | 1,212 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 735 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 825 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 58 | $0.00 |
| 1123F | 0% | 44 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 16 | $0.00 |
| 4004F | 0% | 449 | $0.00 | |
| 4040F | 0% | 428 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,352 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 558 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 544 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 238 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 40 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 64 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 13 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 47 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 16 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 28 | $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 officialYACOUB, GEORGES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Affiliated Internists LLC | Troy, OH | $402K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.