Physician
Mainland Pulmonary Associates PLLC
Mainland Pulmonary Associates PLLC was paid $86K by Medicaid between Jan 2020 and Oct 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 88% of everything it billed.
33Billing provider infoMAINLAND PULMONARY ASSOCIATES PLLC
TEXAS CITY, TX 77591
TEXAS CITY, TX 77591
33aNPI1427529635assigned 12/16/2018
33bProvider typeInternal Medicine Physician
28Total paid$86K
24GClaims4,467
24DCodes billed4
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#244 of 1,028
Median peer was paid$10K
This provider vs. median8.3×
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 | |
|---|---|---|---|
| 2020 | 748 | $7K | |
| 2021 | 1,205 | $27K | |
| 2022 | 705 | $16K | |
| 2023 | 952 | $19K | |
| 2024incomplete | 857 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 88% | 4,166 | 1,389 | $76K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.0% | 107 | 99 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.2% | 169 | 78 | $4K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 25 | 25 | $2K |
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 officialCANTU, JOSE (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Excel Primary Home Care LLC | Hargill, TX | $1.12M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.