Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PULMONARY ASSOCIATES, PA

NPI: 1497854269 · MESA, AZ 85206 · Sleep Medicine (Internal Medicine) Physician · NPI assigned 09/21/2006

$6.08M
Total Medicaid Paid
106,310
Total Claims
79,903
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENKINS, CECILIA (ASSISTANT ADMINISTRATOR)
NPI Enumeration Date09/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 11,161 $668K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 29,670 27,530 $1.92M
99233 Prolong inpt eval add15 m 32,090 13,134 $1.76M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,368 12,497 $639K
99205 Prolong outpt/office vis 3,667 3,545 $354K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,680 977 $325K
99223 Prolong inpt eval add15 m 2,490 2,380 $223K
94060 5,426 5,169 $171K
99245 984 948 $152K
94729 3,381 3,290 $118K
94726 3,454 3,354 $115K
99232 Subsequent hospital care, per day, moderate complexity 3,082 1,589 $114K
71046 Radiologic examination, chest; 2 views 3,205 2,909 $45K
99255 239 223 $35K
95810 Polysomnography; sleep staging with 4 or more additional parameters 366 346 $28K
95811 329 307 $25K
99442 324 311 $14K
99443 232 225 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 477 403 $8K
94664 613 555 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 47 45 $4K
94010 102 93 $2K
95806 27 27 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 17 16 $89.51
36416 14 12 $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 26 18 $0.00