Physician
Pulmonary Associates, PA
Pulmonary Associates, PA was paid $6.08M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 32% of everything it billed.
33Billing provider infoPULMONARY ASSOCIATES, PA
MESA, AZ 85206
MESA, AZ 85206
33aNPI1497854269assigned 09/21/2006
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$6.08M
24GClaims106,310
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Arizona
Rank by total paid#2 of 15
Median peer was paid$71K
This provider vs. median86×
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 | 19,863 | $956K | |
| 2019 | 16,951 | $883K | |
| 2020 | 13,010 | $780K | |
| 2021 | 14,439 | $927K | |
| 2022 | 17,498 | $1.06M | |
| 2023 | 13,388 | $806K | |
| 2024incomplete | 11,161 | $668K |
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 | 32% | 29,670 | 27,530 | $1.92M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 29% | 32,090 | 13,134 | $1.76M |
| 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 | 11% | 13,368 | 12,497 | $639K |
| 99205 | Prolong outpt/office vis | 5.8% | 3,667 | 3,545 | $354K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.4% | 2,680 | 977 | $325K |
| 99223 | Prolong inpt eval add15 m | 3.7% | 2,490 | 2,380 | $223K |
| 94060 | 2.8% | 5,426 | 5,169 | $171K | |
| 99245 | 2.5% | 984 | 948 | $152K | |
| 94729 | 1.9% | 3,381 | 3,290 | $118K | |
| 94726 | 1.9% | 3,454 | 3,354 | $115K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 3,082 | 1,589 | $114K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,205 | 2,909 | $45K |
13 more codes
| 99255 | <1% | 239 | $35K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 366 | $28K |
| 95811 | <1% | 329 | $25K | |
| 99442 | <1% | 324 | $14K | |
| 99443 | <1% | 232 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 477 | $8K |
| 94664 | <1% | 613 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 47 | $4K |
| 94010 | <1% | 102 | $2K | |
| 95806 | <1% | 27 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 17 | $89.51 |
| 36416 | 0% | 14 | $0.00 | |
| G9458 | Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user | 0% | 26 | $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 officialJENKINS, CECILIA (ASSISTANT ADMINISTRATOR)