Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ASSOCIATES IN PULMONARY AND CRITICAL CARE MEDICINE

NPI: 1558388165 · BOWLING GREEN, KY 42101 · Pulmonary Disease Physician · NPI assigned 07/17/2006

$907K
Total Medicaid Paid
58,425
Total Claims
46,814
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialSAHETYA, GUL (PRESIDENT)
NPI Enumeration Date07/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,812 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,782 8,981 $361K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,164 2,703 $73K
94060 2,601 2,396 $72K
94726 2,551 2,354 $63K
94729 2,564 2,360 $61K
99232 Subsequent hospital care, per day, moderate complexity 3,666 665 $58K
71250 390 358 $43K
95810 Polysomnography; sleep staging with 4 or more additional parameters 67 65 $28K
99490 Ccm add 20min 5,832 4,814 $25K
71046 Radiologic examination, chest; 2 views 1,568 1,409 $20K
31645 244 202 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 251 232 $18K
99223 Prolong inpt eval add15 m 320 268 $14K
99407 825 698 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 98 93 $9K
31624 285 202 $7K
95811 13 13 $5K
99443 193 152 $5K
99239 Hospital discharge day management, more than 30 minutes 127 109 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 146 128 $2K
90674 110 101 $2K
99233 Prolong inpt eval add15 m 101 24 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 97 86 $2K
99222 Initial hospital care, per day, moderate complexity 36 28 $1K
99215 Prolong outpt/office vis 19 16 $654.26
90658 57 46 $405.25
99406 108 82 $286.21
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15 13 $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 42 39 $252.04
3008F 1,989 1,660 $5.98
3077F 402 349 $1.92
3079F 407 364 $1.80
3078F 536 476 $1.78
3074F 519 450 $1.60
1159F 1,981 1,539 $1.09
1160F 2,010 1,590 $1.03
3075F 174 159 $0.78
3080F 137 122 $0.71
3044F 47 43 $0.03
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 230 191 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,071 890 $0.00
3725F 1,065 901 $0.00
3288F 174 153 $0.00
3720F 197 176 $0.00
4004F 2,488 1,925 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 604 515 $0.00
1090F 36 24 $0.00
G8482 Influenza immunization administered or previously received 49 43 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 143 129 $0.00
4035F 21 18 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 513 440 $0.00
1220F 1,733 1,380 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 756 643 $0.00
2000F 1,814 1,541 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 29 26 $0.00
1125F 140 120 $0.00
1036F 1,863 1,488 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00
1170F 125 108 $0.00
1034F 622 470 $0.00
G0008 Administration of influenza virus vaccine 14 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 193 172 $0.00
1101F 23 20 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 12 $0.00
3017F 21 14 $0.00