Advanced Pulmonary Critical Care PC

Advanced Pulmonary Critical Care PC was paid $41K by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoADVANCED PULMONARY CRITICAL CARE PC
ALEXANDRIA, VA 22311

33aNPI1538246236assigned 11/01/2006

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$41K

24GClaims1,067

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Virginia

Rank by total paid#9 of 19

Median peer was paid$22K

This provider vs. median1.9×

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	$2K
2019	661	$24K
2020	284	$14K

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	55%	583	428	$22K
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	17%	84	74	$7K
94060		12%	171	142	$5K
94729		8.9%	122	105	$4K
94726		7.6%	107	91	$3K

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 officialSMIRNIOTOPOULOS, THOMAS (PRESIDENT)