Physician
El Paso Pulmonary Association
El Paso Pulmonary Association was paid $2.98M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 78% of everything it billed.
33Billing provider infoEL PASO PULMONARY ASSOCIATION
EL PASO, TX 79902
EL PASO, TX 79902
33aNPI1568464550assigned 08/10/2005
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$2.98M
24GClaims45,343
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Texas
Rank by total paid#3 of 64
Median peer was paid$18K
This provider vs. median168×
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 | 7,344 | $155K | |
| 2019 | 6,771 | $268K | |
| 2020 | 6,411 | $390K | |
| 2021 | 7,846 | $631K | |
| 2022 | 5,971 | $460K | |
| 2023 | 5,958 | $519K | |
| 2024incomplete | 5,042 | $556K |
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 | 78% | 19,224 | 6,433 | $2.34M |
| 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 | 11% | 6,932 | 6,600 | $333K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.3% | 4,079 | 1,819 | $157K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 2,018 | 1,936 | $61K |
| 94729 | <1% | 772 | 768 | $23K | |
| 94726 | <1% | 678 | 676 | $20K | |
| 94060 | <1% | 654 | 648 | $19K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 181 | 45 | $16K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 30 | 30 | $6K |
| 94618 | <1% | 143 | 140 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 33 | 32 | $3K |
| 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 | <1% | 15 | 14 | $2K |
25 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $503.37 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 26 | $370.08 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 37 | $135.20 |
| CP003 | <1% | 14 | $133.82 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,433 | $0.01 |
| 1036F | 0% | 2,145 | $0.00 | |
| 1123F | 0% | 1,984 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 49 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 12 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 126 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 43 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 18 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 13 | $0.00 |
| 99072 | 0% | 157 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 488 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 952 | $0.00 |
| 1124F | 0% | 227 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 365 | $0.00 |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 41 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 48 | $0.00 |
| 4040F | 0% | 213 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 75 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 13 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 17 | $0.00 |
| 3023F | 0% | 76 | $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 officialARMENDARIZ, EUGENIO (PRESIDENT)