Physician
Salem Pulmonary Associates P.C.
Salem Pulmonary Associates P.C. was paid $4.78M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 71% of everything it billed.
33Billing provider infoSALEM PULMONARY ASSOCIATES P.C.
SALEM, OR 97302
SALEM, OR 97302
33aNPI1578671137assigned 08/25/2006
33bProvider typePulmonary Disease Physician
28Total paid$4.78M
24GClaims44,872
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
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 | 5,503 | $628K | |
| 2019 | 6,121 | $660K | |
| 2020 | 6,886 | $738K | |
| 2021 | 7,743 | $778K | |
| 2022 | 6,732 | $644K | |
| 2023 | 7,001 | $748K | |
| 2024incomplete | 4,886 | $580K |
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 | 71% | 25,899 | 12,795 | $3.37M |
| 99292 | 14% | 7,494 | 4,123 | $676K | |
| 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 | 9.5% | 7,511 | 6,568 | $452K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.7% | 3,096 | 2,739 | $225K |
| 99205 | Prolong outpt/office vis | <1% | 128 | 119 | $19K |
| 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% | 88 | 77 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 79 | 42 | $6K |
| 94060 | <1% | 156 | 141 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 93 | 83 | $4K |
| 94729 | <1% | 85 | 80 | $3K | |
| 99443 | <1% | 63 | 59 | $1K | |
| 94010 | <1% | 62 | 49 | $1K |
5 more codes
| 94727 | <1% | 28 | $898.55 | |
| 99406 | <1% | 37 | $580.78 | |
| 99442 | <1% | 16 | $304.62 | |
| 94664 | <1% | 17 | $143.62 | |
| 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% | 20 | $109.68 |
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 officialJOHNSON, MARTIN (OWNER)