Physician
Pulmonary Care & Sleep Associates
Pulmonary Care & Sleep Associates was paid $531K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 24% of everything it billed.
33Billing provider infoPULMONARY CARE & SLEEP ASSOCIATES
FOUNTAIN VALLEY, CA 92708
FOUNTAIN VALLEY, CA 92708
33aNPI1477583656assigned 07/04/2006
33bProvider typePulmonary Disease Physician
28Total paid$531K
24GClaims30,088
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in California
Rank by total paid#36 of 225
Median peer was paid$53K
This provider vs. median9.9×
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 | 3,581 | $93K | |
| 2019 | 3,851 | $86K | |
| 2020 | 5,234 | $68K | |
| 2021 | 5,405 | $84K | |
| 2022 | 5,928 | $104K | |
| 2023 | 4,261 | $69K | |
| 2024incomplete | 1,828 | $27K |
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 | 24% | 7,173 | 1,666 | $127K |
| 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 | 24% | 7,567 | 7,350 | $127K |
| 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 | 16% | 1,743 | 1,741 | $87K |
| 99223 | Prolong inpt eval add15 m | 5.9% | 1,362 | 1,314 | $31K |
| 94726 | 5.5% | 1,345 | 1,345 | $29K | |
| 94729 | 5.5% | 1,342 | 1,342 | $29K | |
| 94060 | 5.3% | 1,345 | 1,345 | $28K | |
| 95811 | 3.7% | 99 | 99 | $20K | |
| 94664 | 3.5% | 4,610 | 4,537 | $18K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.0% | 617 | 107 | $11K |
| 94727 | <1% | 139 | 139 | $5K | |
| 94728 | <1% | 139 | 139 | $5K |
10 more codes
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 officialLE, HOANG (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Ginger Fitness and Rehabilitation INC | Wesley Chapel, FL | $1.12M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.