Physician
Associates in Pulmonary and Critical Care Medicine
Associates in Pulmonary and Critical Care Medicine was paid $907K by Medicaid between Jan 2018 and Jun 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoASSOCIATES IN PULMONARY AND CRITICAL CARE MEDICINE
BOWLING GREEN, KY 42101
BOWLING GREEN, KY 42101
33aNPI1558388165assigned 07/17/2006
33bProvider typePulmonary Disease Physician
28Total paid$907K
24GClaims58,425
24DCodes billed65
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Kentucky
Rank by total paid#3 of 16
Median peer was paid$20K
This provider vs. median45×
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 | 7,391 | $170K | |
| 2019 | 6,582 | $144K | |
| 2020 | 18,257 | $159K | |
| 2021 | 10,699 | $125K | |
| 2022 | 6,340 | $128K | |
| 2023 | 7,344 | $135K | |
| 2024incomplete | 1,812 | $47K |
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 | 40% | 10,782 | 8,981 | $361K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 3,164 | 2,703 | $73K |
| 94060 | 8.0% | 2,601 | 2,396 | $72K | |
| 94726 | 7.0% | 2,551 | 2,354 | $63K | |
| 94729 | 6.8% | 2,564 | 2,360 | $61K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.4% | 3,666 | 665 | $58K |
| 71250 | 4.7% | 390 | 358 | $43K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.1% | 67 | 65 | $28K |
| 99490 | Ccm add 20min | 2.7% | 5,832 | 4,814 | $25K |
| 71046 | Radiologic examination, chest; 2 views | 2.2% | 1,568 | 1,409 | $20K |
| 31645 | 2.2% | 244 | 202 | $20K | |
| 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 | 2.0% | 251 | 232 | $18K |
53 more codes
| 99223 | Prolong inpt eval add15 m | 1.5% | 320 | $14K |
| 99407 | 1.2% | 825 | $11K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 98 | $9K |
| 31624 | <1% | 285 | $7K | |
| 95811 | <1% | 13 | $5K | |
| 99443 | <1% | 193 | $5K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 127 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 146 | $2K |
| 90674 | <1% | 110 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 101 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 97 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 36 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $654.26 |
| 90658 | <1% | 57 | $405.25 | |
| 99406 | <1% | 108 | $286.21 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $253.32 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 42 | $252.04 |
| 3008F | <1% | 1,989 | $5.98 | |
| 3077F | <1% | 402 | $1.92 | |
| 3079F | <1% | 407 | $1.80 | |
| 3078F | <1% | 536 | $1.78 | |
| 3074F | <1% | 519 | $1.60 | |
| 1159F | <1% | 1,981 | $1.09 | |
| 1160F | <1% | 2,010 | $1.03 | |
| 3075F | <1% | 174 | $0.78 | |
| 3080F | <1% | 137 | $0.71 | |
| 3044F | <1% | 47 | $0.03 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 230 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,071 | $0.00 |
| 3725F | 0% | 1,065 | $0.00 | |
| 3288F | 0% | 174 | $0.00 | |
| 3720F | 0% | 197 | $0.00 | |
| 4004F | 0% | 2,488 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 604 | $0.00 |
| 1090F | 0% | 36 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 49 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 143 | $0.00 |
| 4035F | 0% | 21 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 513 | $0.00 |
| 1220F | 0% | 1,733 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 756 | $0.00 |
| 2000F | 0% | 1,814 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 29 | $0.00 |
| 1125F | 0% | 140 | $0.00 | |
| 1036F | 0% | 1,863 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 1170F | 0% | 125 | $0.00 | |
| 1034F | 0% | 622 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 193 | $0.00 |
| 1101F | 0% | 23 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | $0.00 |
| 3017F | 0% | 21 | $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 officialSAHETYA, GUL (PRESIDENT)