Pulmonary Medicine Consultants, PA

Pulmonary Medicine Consultants, PA was paid $47K by Medicaid between Mar 2018 and Jan 2024, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 65% of everything it billed.

33Billing provider infoPULMONARY MEDICINE CONSULTANTS, PA
RICHARDSON, TX 75082

33aNPI1407845456assigned 10/20/2005

33bProvider typePulmonary Disease Physician

28Total paid$47K

24GClaims1,801

24DCodes billed4

24AFirst – last monthMar 2018 – Jan 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#27 of 92

Median peer was paid$8K

This provider vs. median5.6×

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	312	$3K
2019	431	$3K
2020	224	$5K
2021	269	$11K
2022	251	$11K
2023	259	$13K
2024incomplete	55	$2K

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	65%	1,035	283	$31K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	33%	620	217	$16K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	134	50	$445.70
99223	Prolong inpt eval add15 m	<1%	12	12	$247.26

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 officialFOSTER, GREGORY (PRESIDENT)