Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PULMONARY ASSOCIATES LLC

NPI: 1386942910 · TROY, OH 45373 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 03/07/2011

$873K
Total Medicaid Paid
40,477
Total Claims
28,087
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYACOUB, GEORGES (CEO)
NPI Enumeration Date03/07/2011

Related Entities

Other providers sharing the same authorized official: YACOUB, GEORGES

ProviderCityStateTotal Paid
AFFILIATED INTERNISTS LLC TROY OH $402K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,620 $111K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 8,238 1,270 $218K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,742 4,061 $192K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,460 6,576 $190K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,073 535 $70K
94060 1,505 1,388 $37K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 537 453 $32K
99223 Prolong inpt eval add15 m 674 609 $24K
99239 Hospital discharge day management, more than 30 minutes 1,186 1,033 $23K
94729 1,505 1,387 $18K
99292 870 258 $17K
94727 1,510 1,391 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 187 179 $9K
99220 162 144 $8K
94618 462 420 $8K
99217 190 165 $4K
99308 Subsequent nursing facility care, per day, straightforward 108 37 $3K
99225 173 70 $3K
90686 63 43 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 64 43 $565.11
1036F 965 890 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 356 318 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 63 48 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 717 658 $0.00
3017F 1,212 1,110 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 735 676 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 825 757 $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) 58 56 $0.00
1123F 44 40 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16 14 $0.00
4004F 449 403 $0.00
4040F 428 391 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,352 1,257 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 558 513 $0.00
G8484 Influenza immunization was not administered, reason not given 544 491 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 238 212 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 40 37 $0.00
G8482 Influenza immunization administered or previously received 64 59 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 13 12 $0.00
G8598 Aspirin or another antiplatelet therapy used 47 44 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 16 13 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 28 26 $0.00