Physician
Pulmonary & Critical Care Specialists INC
Pulmonary & Critical Care Specialists INC was paid $904K by Medicaid between May 2019 and Dec 2024, across 15 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 57% of everything it billed.
33Billing provider infoPULMONARY & CRITICAL CARE SPECIALISTS INC
MAUMEE, OH 43537
MAUMEE, OH 43537
33aNPI1417428574assigned 12/16/2018
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$904K
24GClaims63,830
24DCodes billed15
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#1 of 14
Median peer was paid$33K
This provider vs. median27×
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 | |
|---|---|---|---|
| 2019 | 4,462 | $79K | |
| 2020 | 6,684 | $113K | |
| 2021 | 8,339 | $124K | |
| 2022 | 10,163 | $179K | |
| 2023 | 18,142 | $206K | |
| 2024incomplete | 16,040 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 57% | 42,199 | 20,680 | $514K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 34% | 13,517 | 5,417 | $310K |
| 99310 | Prolong nursin fac eval 15m | 5.0% | 1,604 | 872 | $45K |
| 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 | 1.0% | 251 | 218 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 545 | 127 | $8K |
| 99306 | Prolong nursin fac eval 15m | <1% | 156 | 131 | $5K |
| 99307 | <1% | 492 | 318 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 128 | 120 | $4K |
| 94010 | <1% | 139 | 128 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 30 | 25 | $726.68 |
| 99441 | <1% | 131 | 97 | $725.55 | |
| 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% | 15 | 14 | $630.57 |
3 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 41 | $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 | <1% | 34 | $234.43 |
| G2181 | Bmi not documented due to medical reason or patient refusal of height or weight measurement | 0% | 4,548 | $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 officialJACOB, HANY (OWNER/CEO)