Medicaid Provider Spending

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

PULMONARY ASSOCIATES OF LANCASTER, LTD

NPI: 1508818907 · LANCASTER, PA 17602 · Specialist · NPI assigned 05/16/2006

$699K
Total Medicaid Paid
14,889
Total Claims
12,981
Beneficiaries
13
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialO'CONNOR, JAMES (VICE PRESIDENT)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: O'CONNOR, JAMES

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52 $38.84
2020 319 $7K
2021 3,188 $154K
2022 4,033 $216K
2023 4,027 $188K
2024 3,270 $133K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,321 1,229 $311K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,618 3,538 $165K
99233 Prolong inpt eval add15 m 924 664 $64K
99232 Subsequent hospital care, per day, moderate complexity 1,014 706 $44K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 423 419 $37K
95810 Polysomnography; sleep staging with 4 or more additional parameters 311 305 $22K
94726 1,708 1,673 $15K
94060 2,025 1,984 $14K
94729 1,712 1,676 $10K
94618 534 492 $8K
95800 209 205 $8K
95811 13 13 $2K
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 77 77 $407.46