Medicaid Provider Spending

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

PULMONARY & CRITICAL CARE SPECIALISTS INC

NPI: 1417428574 · MAUMEE, OH 43537 · Sleep Medicine (Internal Medicine) Physician · NPI assigned 12/16/2018

$904K
Total Medicaid Paid
63,830
Total Claims
30,274
Beneficiaries
15
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACOB, HANY (OWNER/CEO)
NPI Enumeration Date12/16/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 4,462 $79K
2020 6,684 $113K
2021 8,339 $124K
2022 10,163 $179K
2023 18,142 $206K
2024 16,040 $203K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 42,199 20,680 $514K
99309 Subsequent nursing facility care, per day, low to moderate complexity 13,517 5,417 $310K
99310 Prolong nursin fac eval 15m 1,604 872 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 251 218 $9K
99232 Subsequent hospital care, per day, moderate complexity 545 127 $8K
99306 Prolong nursin fac eval 15m 156 131 $5K
99307 492 318 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 128 120 $4K
94010 139 128 $2K
99222 Initial hospital care, per day, moderate complexity 30 25 $726.68
99441 131 97 $725.55
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 14 $630.57
99231 Subsequent hospital care, per day, straightforward or low complexity 41 14 $400.15
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 34 32 $234.43
G2181 Bmi not documented due to medical reason or patient refusal of height or weight measurement 4,548 2,081 $0.00