Pulmonary and Medicine Associates

Pulmonary and Medicine Associates was paid $2.34M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 49% of everything it billed.

33Billing provider infoPULMONARY AND MEDICINE ASSOCIATES
WARREN, MI 48088

33aNPI1417174319assigned 04/20/2007

33bProvider typeFamily Medicine Physician

28Total paid$2.34M

24GClaims34,036

24DCodes billed34

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#50 of 826

Median peer was paid$98K

This provider vs. median24×

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	5,417	$266K
2019	4,323	$266K
2020	4,693	$337K
2021	6,545	$457K
2022	3,948	$328K
2023	4,557	$354K
2024incomplete	4,553	$327K

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	49%	9,524	3,126	$1.14M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	17%	7,094	2,865	$403K
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	11%	3,592	3,355	$268K
99223	Prolong inpt eval add15 m	8.7%	2,027	1,867	$204K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.0%	4,351	1,679	$163K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.9%	1,677	1,559	$91K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	390	330	$19K
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	<1%	149	148	$14K
94729		<1%	404	396	$7K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	78	78	$7K
94060		<1%	353	347	$5K
99308	Subsequent nursing facility care, per day, straightforward	<1%	99	87	$4K

22 more codes

94726		<1%	168	$2K
99406		<1%	296	$2K
36620		<1%	59	$1K
36415	Collection of venous blood by venipuncture	<1%	322	$878.75
94010		<1%	156	$727.34
94375		<1%	54	$624.96
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	$455.93
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	41	$397.97
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	49	$336.00
90656		<1%	13	$229.40
90686		<1%	13	$190.30
G0008	Administration of influenza virus vaccine	<1%	15	$103.80
94760		<1%	251	$60.22
3078F		<1%	588	$0.19
3074F		<1%	718	$0.18
3079F		<1%	357	$0.08
3075F		<1%	129	$0.04
3077F		<1%	44	$0.01
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	962	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	17	$0.00
3080F		0%	15	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	17	$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 officialFLINT, AMBER (OFFICE MANAGER)