Physician
West Coast Pulmonary Physicians a Professional Medical Corporation
West Coast Pulmonary Physicians a Professional Medical Corporation was paid $3.81M by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 33% of everything it billed.
33Billing provider infoWEST COAST PULMONARY PHYSICIANS A PROFESSIONAL MEDICAL CORPORATION
OXNARD, CA 93036
OXNARD, CA 93036
33aNPI1558464065assigned 09/07/2006
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$3.81M
24GClaims47,072
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in California
Rank by total paid#1 of 35
Median peer was paid$30K
This provider vs. median126×
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 | 2,571 | $89K | |
| 2019 | 4,230 | $355K | |
| 2020 | 6,955 | $550K | |
| 2021 | 7,911 | $636K | |
| 2022 | 8,100 | $620K | |
| 2023 | 10,169 | $977K | |
| 2024incomplete | 7,136 | $584K |
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 | 33% | 19,933 | 7,821 | $1.24M |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 19% | 8,829 | 3,385 | $715K |
| 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 | 18% | 6,454 | 6,315 | $677K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 5,670 | 2,218 | $465K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.5% | 318 | 318 | $171K |
| 99223 | Prolong inpt eval add15 m | 3.8% | 951 | 930 | $143K |
| 95811 | 2.4% | 177 | 175 | $91K | |
| 94729 | 1.4% | 978 | 967 | $53K | |
| 94726 | 1.3% | 982 | 973 | $50K | |
| 99443 | 1.2% | 404 | 392 | $47K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 237 | 233 | $41K |
| 94060 | <1% | 822 | 813 | $35K |
8 more codes
| 99442 | <1% | 366 | $29K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 368 | $24K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 158 | $24K |
| 94010 | <1% | 63 | $2K | |
| 95800 | <1% | 12 | $2K | |
| 94618 | <1% | 13 | $402.63 | |
| A4617 | Mouth piece | <1% | 80 | $180.66 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 257 | $35.83 |
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 officialBHATIA, RAJ (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Raj K Bhatia MD INC | Perrysburg, OH | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.