Physician
Southwest Pulmonary Medical Group a Medical Corporation
Southwest Pulmonary Medical Group a Medical Corporation was paid $566K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoSOUTHWEST PULMONARY MEDICAL GROUP A MEDICAL CORPORATION
CHULA VISTA, CA 91914
CHULA VISTA, CA 91914
33aNPI1497755011assigned 07/26/2005
33bProvider typePulmonary Disease Physician
28Total paid$566K
24GClaims11,376
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in California
Rank by total paid#33 of 225
Median peer was paid$53K
This provider vs. median11×
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 | 995 | $32K | |
| 2019 | 2,113 | $103K | |
| 2020 | 1,732 | $103K | |
| 2021 | 2,110 | $127K | |
| 2022 | 1,977 | $96K | |
| 2023 | 1,853 | $78K | |
| 2024incomplete | 596 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 67% | 8,376 | 8,223 | $377K |
| 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 | 21% | 1,355 | 1,355 | $121K |
| 94729 | 3.5% | 474 | 474 | $20K | |
| 94060 | 3.4% | 483 | 483 | $19K | |
| 94727 | 2.6% | 449 | 449 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 199 | 199 | $14K |
| 90674 | 0% | 28 | 28 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | 12 | $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 officialLIRA, JOSE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Eastlake Sleep Center | Chula Vista, CA | $1.57M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.