Pediatric Pulmonary Associates INC

Pediatric Pulmonary Associates INC was paid $1.19M by Medicaid between Jan 2018 and Feb 2022, across 16 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 55% of everything it billed.

33Billing provider infoPEDIATRIC PULMONARY ASSOCIATES INC
LONG BEACH, CA 90806

33aNPI1457456337assigned 09/14/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$1.19M

24GClaims17,267

24DCodes billed16

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in California

Rank by total paid#5 of 66

Median peer was paid$61K

This provider vs. median20×

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	6,071	$373K
2019	5,866	$406K
2020	4,665	$349K
2021	632	$59K
2022	33	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	55%	7,820	7,567	$653K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	27%	5,513	1,897	$318K
99356		9.5%	2,154	772	$113K
99223	Prolong inpt eval add15 m	2.8%	337	333	$33K
99354		2.2%	482	476	$27K
99255		1.1%	142	142	$13K
99205	Prolong outpt/office vis	<1%	63	62	$9K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	140	134	$8K
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%	149	147	$8K
95018		<1%	15	13	$5K
94375		<1%	253	250	$2K
99245		<1%	12	12	$852.44

4 more codes

94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	68	$616.78
94010		<1%	72	$397.21
94060		<1%	14	$210.24
94760		<1%	33	$47.18

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 officialNUSSBAUM, ELIEZER (MEDICAL DIRECTOR)