Texoma Pulmonary & Sleep Specialist PA

Texoma Pulmonary & Sleep Specialist PA was paid $28K by Medicaid between May 2018 and Apr 2023, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoTEXOMA PULMONARY & SLEEP SPECIALIST PA
DENISON, TX 75020

33aNPI1588943914assigned 08/16/2011

33bProvider typePulmonary Disease Physician

28Total paid$28K

24GClaims1,855

24DCodes billed10

24AFirst – last monthMay 2018 – Apr 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#33 of 92

Median peer was paid$8K

This provider vs. median3.3×

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	365	$2K
2019	879	$10K
2020	178	$2K
2021	362	$11K
2022	55	$3K
2023	16	$421.65

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	39%	435	368	$11K
71046	Radiologic examination, chest; 2 views	18%	627	541	$5K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	16%	356	71	$5K
99223	Prolong inpt eval add15 m	9.6%	82	81	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.0%	216	150	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.0%	76	58	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.4%	27	12	$944.29
94060		<1%	12	12	$45.95
94729		<1%	12	12	$43.18
94726		<1%	12	12	$42.81

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 officialWYNN, CECILIA (PRACTICE MANAGER)