Physician
Pulmonary & Digestive Clinic INC
Pulmonary & Digestive Clinic INC was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoPULMONARY & DIGESTIVE CLINIC INC
GONZALES, LA 70737
GONZALES, LA 70737
33aNPI1578776050assigned 05/08/2007
33bProvider typePulmonary Disease Physician
28Total paid$2.01M
24GClaims42,058
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Louisiana
Rank by total paid#2 of 27
Median peer was paid$69K
This provider vs. median29×
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 | 5,428 | $251K | |
| 2019 | 5,762 | $275K | |
| 2020 | 6,185 | $279K | |
| 2021 | 6,426 | $317K | |
| 2022 | 5,929 | $307K | |
| 2023 | 7,090 | $354K | |
| 2024incomplete | 5,238 | $232K |
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 | 31% | 15,049 | 13,618 | $618K |
| 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 | 14% | 3,688 | 3,504 | $290K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 1,833 | 1,663 | $234K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 10.0% | 864 | 815 | $201K |
| 94726 | 6.7% | 6,177 | 5,742 | $134K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 6.4% | 709 | 634 | $129K |
| 94010 | 5.0% | 7,748 | 7,166 | $100K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.9% | 370 | 351 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 2,983 | 2,828 | $89K |
| 99205 | Prolong outpt/office vis | 1.9% | 415 | 389 | $39K |
| 43249 | 1.4% | 393 | 381 | $28K | |
| 74018 | 1.1% | 1,484 | 1,410 | $23K |
6 more codes
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 146 | $14K |
| 95811 | <1% | 88 | $13K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $753.24 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $746.16 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 52 | $742.72 |
| 99441 | <1% | 34 | $208.94 |
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 officialNOWAKOWSKI, BOGDAN (CEO, MD)