Lehigh Pulmonary Associates, INC
Lehigh Pulmonary Associates, INC was paid $117K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoLEHIGH PULMONARY ASSOCIATES, INC
LEHIGH ACRES, FL 33971
LEHIGH ACRES, FL 33971
33aNPI1427120484assigned 11/14/2006
33bProvider typeSpecialist
28Total paid$117K
24GClaims14,932
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#192 of 553
Median peer was paid$31K
This provider vs. median3.8×
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 | 517 | $673.21 | |
| 2019 | 1,096 | $8K | |
| 2020 | 2,003 | $17K | |
| 2021 | 2,341 | $21K | |
| 2022 | 3,081 | $38K | |
| 2023 | 3,417 | $21K | |
| 2024incomplete | 2,477 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 5,299 | 3,992 | $69K |
| 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 | 8.5% | 233 | 189 | $10K |
| 82805 | 6.7% | 383 | 291 | $8K | |
| 94060 | 4.6% | 417 | 324 | $5K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.0% | 47 | 47 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 214 | 154 | $3K |
| 94729 | 2.6% | 429 | 333 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 287 | 226 | $3K |
| 94726 | 2.5% | 427 | 332 | $3K | |
| 94010 | 2.1% | 1,324 | 1,000 | $2K | |
| 36600 | 1.9% | 597 | 458 | $2K | |
| 94375 | 1.3% | 222 | 195 | $2K |
12 more codes
| 99406 | <1% | 411 | $540.31 | |
| 82375 | <1% | 383 | $433.00 | |
| 84132 | <1% | 398 | $399.44 | |
| 82947 | <1% | 365 | $232.46 | |
| 82435 | <1% | 383 | $191.96 | |
| 84295 | <1% | 369 | $154.61 | |
| 85018 | <1% | 516 | $140.96 | |
| 85014 | <1% | 514 | $137.71 | |
| 99305 | <1% | 18 | $23.59 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 337 | $19.65 |
| 99072 | 0% | 1,346 | $0.00 | |
| 96160 | 0% | 13 | $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 officialEL-GENDY, ALAA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Lehigh Pulmonary Associates, INC | Fort Myers, FL | $77.72 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.