Montgomery Pulmonary Consultants, P.A.

Montgomery Pulmonary Consultants, P.A. was paid $658K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 51% of everything it billed.

33Billing provider infoMONTGOMERY PULMONARY CONSULTANTS, P.A.
MONTGOMERY, AL 36111

33aNPI1508829193assigned 04/06/2006

33bProvider typePulmonary Disease Physician

28Total paid$658K

24GClaims20,501

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Alabama

Rank by total paid#2 of 19

Median peer was paid$12K

This provider vs. median54×

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	1,081	$33K
2019	1,181	$40K
2020	4,182	$112K
2021	3,282	$100K
2022	4,406	$130K
2023	4,780	$171K
2024incomplete	1,589	$71K

Box 24 · Service lines

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	51%	7,240	2,492	$335K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	45%	12,092	4,492	$297K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.3%	774	490	$15K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	37	37	$4K
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	<1%	103	89	$3K
95811		<1%	13	12	$906.44
94727		<1%	71	64	$700.06
94010		<1%	89	79	$697.10
94729		<1%	57	52	$544.43
99442		<1%	12	12	$127.89
71046	Radiologic examination, chest; 2 views	<1%	13	12	$97.85

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 officialENGLISH, JULIE (PRACTICE ADMINISTRATOR)