Pulmonary Critical Care & Sleep Specialists of Lake County, PA

Pulmonary Critical Care & Sleep Specialists of Lake County, PA was paid $27K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 49% of everything it billed.

33Billing provider infoPULMONARY CRITICAL CARE & SLEEP SPECIALISTS OF LAKE COUNTY, PA
TAVARES, FL 32778

33aNPI1508999673assigned 03/14/2007

33bProvider typePulmonary Disease Physician

28Total paid$27K

24GClaims1,774

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Florida

Rank by total paid#55 of 142

Median peer was paid$11K

This provider vs. median2.5×

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	122	$1K
2019	349	$14K
2020	434	$6K
2021	278	$3K
2022	123	$1K
2023	268	$960.17
2024incomplete	200	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	49%	160	115	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	1,364	1,196	$11K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	6.7%	157	52	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.9%	93	33	$1K

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 officialJALLOUL, AHMAD (OWNER)