Pulmonary Consultants of San Antonio, PA

Pulmonary Consultants of San Antonio, PA was paid $93K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 48% of everything it billed.

33Billing provider infoPULMONARY CONSULTANTS OF SAN ANTONIO, PA
SAN ANTONIO, TX 78240

33aNPI1558367706assigned 06/22/2005

33bProvider typePulmonary Disease Physician

28Total paid$93K

24GClaims3,328

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#17 of 92

Median peer was paid$8K

This provider vs. median11×

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	464	$4K
2019	509	$7K
2020	951	$22K
2021	366	$18K
2022	226	$11K
2023	525	$19K
2024incomplete	287	$13K

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	48%	465	129	$45K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	28%	1,107	456	$26K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	23%	1,722	555	$22K
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	1.0%	34	30	$959.91

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 officialALONZO, MELISSA (CREDENTIALING)