Physician
American Lung and Sleep Disorders Consultants PA
American Lung and Sleep Disorders Consultants PA was paid $244K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 27% of everything it billed.
33Billing provider infoAMERICAN LUNG AND SLEEP DISORDERS CONSULTANTS PA
PINELLAS PARK, FL 33781
PINELLAS PARK, FL 33781
33aNPI1467464990assigned 08/13/2006
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$244K
24GClaims27,309
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Florida
Rank by total paid#5 of 22
Median peer was paid$20K
This provider vs. median13×
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 | 1,633 | $5K | |
| 2019 | 3,849 | $50K | |
| 2020 | 5,061 | $49K | |
| 2021 | 6,200 | $52K | |
| 2022 | 3,616 | $37K | |
| 2023 | 4,846 | $38K | |
| 2024incomplete | 2,104 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 27% | 871 | 693 | $67K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 22% | 1,893 | 529 | $54K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 17% | 4,573 | 1,411 | $42K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 17% | 6,679 | 2,852 | $40K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.2% | 1,345 | 900 | $15K |
| 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 | 2.4% | 808 | 667 | $6K |
| 99304 | 2.1% | 640 | 453 | $5K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.0% | 484 | 273 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 5,966 | 1,239 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 1,009 | 652 | $3K |
| 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% | 1,192 | 923 | $1K |
| 99305 | <1% | 35 | 24 | $908.00 |
15 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 15 | $786.46 |
| 94060 | <1% | 56 | $461.60 | |
| 31624 | <1% | 132 | $339.13 | |
| 94010 | <1% | 164 | $118.35 | |
| 94727 | <1% | 54 | $64.04 | |
| 94729 | <1% | 54 | $24.73 | |
| 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% | 133 | $14.67 |
| 94619 | <1% | 17 | $14.32 | |
| 94250 | 0% | 38 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 19 | $0.00 |
| G9699 | Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified | 0% | 32 | $0.00 |
| 94003 | 0% | 872 | $0.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 178 | $0.00 |
| M1216 | No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter | 0% | 34 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 16 | $0.00 |
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 officialAGRAWAL, RAJESH (OWNER)