Physician
American Lung Care INC.
American Lung Care INC. was paid $679K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoAMERICAN LUNG CARE INC.
BRIDGEPORT, WV 26330
BRIDGEPORT, WV 26330
33aNPI1528000221assigned 06/10/2006
33bProvider typePulmonary Disease Physician
28Total paid$679K
24GClaims16,475
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in West Virginia
Rank by total paid#4 of 17
Median peer was paid$210K
This provider vs. median3.2×
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 | 2,977 | $194K | |
| 2019 | 1,374 | $68K | |
| 2020 | 2,888 | $133K | |
| 2021 | 2,943 | $90K | |
| 2022 | 2,603 | $85K | |
| 2023 | 2,318 | $69K | |
| 2024incomplete | 1,372 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 5,385 | 4,835 | $280K |
| 94060 | 24% | 5,414 | 4,761 | $162K | |
| 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 | 11% | 800 | 718 | $74K |
| 94729 | 4.7% | 1,058 | 995 | $32K | |
| 94726 | 4.6% | 1,090 | 1,020 | $31K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 355 | 342 | $20K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1.9% | 384 | 371 | $13K |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 1.9% | 363 | 353 | $13K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.8% | 47 | 41 | $12K |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 1.6% | 313 | 305 | $11K |
| 1036F | 1.2% | 271 | 264 | $8K | |
| 94618 | 1.1% | 430 | 408 | $8K |
8 more codes
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 officialRAJJOUB, SALAM (PRESIDENT)