Physician
Sonoran Pulmonary and Critical Care PLLC
Sonoran Pulmonary and Critical Care PLLC was paid $699K by Medicaid between Jan 2018 and Jul 2024, across 19 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 36% of everything it billed.
33Billing provider infoSONORAN PULMONARY AND CRITICAL CARE PLLC
PHOENIX, AZ 85037
PHOENIX, AZ 85037
33aNPI1457651085assigned 10/29/2010
33bProvider typePulmonary Disease Physician
28Total paid$699K
24GClaims18,425
24DCodes billed19
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Arizona
Rank by total paid#9 of 37
Median peer was paid$132K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2018 | 2,244 | $87K | |
| 2019 | 3,250 | $90K | |
| 2020 | 2,726 | $90K | |
| 2021 | 4,030 | $183K | |
| 2022 | 2,400 | $98K | |
| 2023 | 2,748 | $104K | |
| 2024incomplete | 1,027 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 36% | 5,081 | 1,133 | $255K |
| 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 | 29% | 3,880 | 3,536 | $201K |
| 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 | 7.2% | 627 | 598 | $50K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.7% | 396 | 120 | $40K |
| 94729 | 4.7% | 837 | 806 | $33K | |
| 94060 | 4.1% | 893 | 850 | $29K | |
| 99255 | 4.0% | 183 | 166 | $28K | |
| 94726 | 3.5% | 630 | 609 | $24K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.3% | 666 | 120 | $16K |
| 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% | 171 | 156 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 124 | 106 | $7K |
| 94664 | <1% | 396 | 342 | $3K |
7 more codes
| 94760 | <1% | 3,382 | $2K | |
| 94010 | <1% | 121 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 18 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 27 | $898.09 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 844 | $54.44 |
| 94728 | <1% | 122 | $41.76 | |
| 94761 | <1% | 27 | $33.74 |
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 officialSHARMA, RAMIT (OWNER)