Pulmonary Associates of Lancaster, LTD
Pulmonary Associates of Lancaster, LTD was paid $699K by Medicaid between Aug 2018 and Dec 2024, across 13 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 44% of everything it billed.
LANCASTER, PA 17602
Next to other Specialist providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 52 | $38.84 | |
| 2020 | 319 | $7K | |
| 2021 | 3,188 | $154K | |
| 2022 | 4,033 | $216K | |
| 2023 | 4,027 | $188K | |
| 2024incomplete | 3,270 | $133K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 44% | 2,321 | 1,229 | $311K |
| 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% | 3,618 | 3,538 | $165K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.1% | 924 | 664 | $64K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.3% | 1,014 | 706 | $44K |
| 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 | 5.2% | 423 | 419 | $37K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.2% | 311 | 305 | $22K |
| 94726 | 2.1% | 1,708 | 1,673 | $15K | |
| 94060 | 2.0% | 2,025 | 1,984 | $14K | |
| 94729 | 1.4% | 1,712 | 1,676 | $10K | |
| 94618 | 1.1% | 534 | 492 | $8K | |
| 95800 | 1.1% | 209 | 205 | $8K | |
| 95811 | <1% | 13 | 13 | $2K |
1 more codes
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 77 | $407.46 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| ST. Charles Hospital and Rehabilitation Center | Port Jefferson, NY | $15.46M |
| Pediatric Associates of Cheshire PC | Cheshire, CT | $380K |
| Delaware Valley Residential Care LLC | Warminster, PA | $183K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.