Physician
Critical Care Pulmonary and Sleep Associates Professional LLP
Critical Care Pulmonary and Sleep Associates Professional LLP was paid $5.19M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 88% of everything it billed.
33Billing provider infoCRITICAL CARE PULMONARY AND SLEEP ASSOCIATES PROFESSIONAL LLP
LAKEWOOD, CO 80228
LAKEWOOD, CO 80228
33aNPI1437100039assigned 05/16/2006
33bProvider typePulmonary Disease Physician
28Total paid$5.19M
24GClaims42,957
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Colorado
Rank by total paid#4 of 30
Median peer was paid$72K
This provider vs. median72×
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 | 7,559 | $556K | |
| 2019 | 5,444 | $533K | |
| 2020 | 5,924 | $730K | |
| 2021 | 9,483 | $1.28M | |
| 2022 | 5,638 | $828K | |
| 2023 | 5,691 | $851K | |
| 2024incomplete | 3,218 | $414K |
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 | 88% | 30,296 | 13,699 | $4.56M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.4% | 5,708 | 2,850 | $278K |
| 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 | 4.6% | 4,008 | 3,453 | $241K |
| 95806 | 1.0% | 418 | 346 | $52K | |
| 95811 | <1% | 188 | 141 | $18K | |
| 94010 | <1% | 833 | 626 | $12K | |
| 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% | 304 | 250 | $11K |
| 95800 | <1% | 65 | 63 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 67 | 50 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 287 | 265 | $4K |
| 94060 | <1% | 143 | 126 | $1K | |
| 94727 | <1% | 134 | 114 | $1K |
5 more codes
| 94729 | <1% | 158 | $1K | |
| 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% | 248 | $437.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $181.35 |
| 94761 | <1% | 70 | $163.10 | |
| 94760 | <1% | 17 | $29.76 |
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 officialDENNEN, PAULA (PRESIDENT)