Chest Medicine Associates, PA

Chest Medicine Associates, PA was paid $885K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 71% of everything it billed.

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	1,755	$81K
2019	2,228	$117K
2020	1,258	$82K
2021	2,342	$176K
2022	1,940	$136K
2023	2,210	$130K
2024incomplete	2,272	$164K

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	71%	7,076	2,932	$633K
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	13%	3,305	2,904	$118K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.5%	999	497	$39K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.4%	1,032	939	$30K
95810	Polysomnography; sleep staging with 4 or more additional parameters	2.3%	213	196	$21K
95806		2.0%	413	371	$18K
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%	147	128	$8K
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	<1%	54	42	$4K
95811		<1%	27	25	$3K
94375		<1%	327	283	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	72	42	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	44	42	$2K

6 more codes

99215	Doctor's office visit, returning patient (complex)	<1%	17	$1K
94729		<1%	155	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	46	$739.80
99222	Initial hospital care, per day, moderate complexity	<1%	18	$632.46
94726		<1%	47	$428.76
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	13	$309.40

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 officialWIRTH, JOEL (PHYSICIAN)