Physician
Pulmonary Critical Care and Sleep
Pulmonary Critical Care and Sleep was paid $383K by Medicaid between Apr 2019 and Nov 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 72% of everything it billed.
33Billing provider infoPULMONARY CRITICAL CARE AND SLEEP
ATLANTIS, FL 33462
ATLANTIS, FL 33462
33aNPI1548751498assigned 05/27/2018
33bProvider typePulmonary Disease Physician
28Total paid$383K
24GClaims31,189
24DCodes billed12
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Florida
Rank by total paid#15 of 142
Median peer was paid$11K
This provider vs. median34×
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 | |
|---|---|---|---|
| 2019 | 4,598 | $75K | |
| 2020 | 7,387 | $125K | |
| 2021 | 6,987 | $102K | |
| 2022 | 5,660 | $24K | |
| 2023 | 2,988 | $50K | |
| 2024incomplete | 3,569 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 72% | 21,352 | 4,820 | $276K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 3,190 | 957 | $56K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.1% | 4,401 | 1,417 | $27K |
| 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 | 3.1% | 1,126 | 866 | $12K |
| 99223 | Prolong inpt eval add15 m | 2.0% | 253 | 204 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 72 | 53 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 239 | 137 | $1K |
| 99305 | <1% | 17 | 12 | $518.99 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 165 | 119 | $317.72 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 346 | 277 | $0.00 |
| 94060 | 0% | 14 | 12 | $0.00 | |
| 94729 | 0% | 14 | 12 | $0.00 |
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 officialCAVENDER, CINDY (ACCESS MANAGER - ADMINISTRATOR)