Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PULMONARY & CRITICAL CARE ASSOCIATES PC

NPI: 1598700932 · SHELBY TWP, MI 48315 · Pulmonary Disease Physician · NPI assigned 06/19/2006

$7.30M
Total Medicaid Paid
97,232
Total Claims
54,477
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERBERT, RICHARD (PRESIDENT)
NPI Enumeration Date06/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,137 $909K
2019 11,820 $826K
2020 12,402 $969K
2021 15,415 $1.17M
2022 14,895 $1.10M
2023 15,537 $1.19M
2024 14,026 $1.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 20,566 5,663 $2.52M
99233 Prolong inpt eval add15 m 32,506 9,232 $1.98M
99223 Prolong inpt eval add15 m 7,892 7,596 $855K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,055 6,867 $468K
99232 Subsequent hospital care, per day, moderate complexity 8,362 4,505 $345K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,020 2,998 $279K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,361 1,352 $235K
95811 712 704 $134K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,098 2,066 $99K
99222 Initial hospital care, per day, moderate complexity 1,193 1,178 $89K
94729 2,265 2,243 $64K
94726 2,290 2,269 $62K
94060 2,115 2,097 $50K
99205 Prolong outpt/office vis 176 171 $19K
94010 1,003 982 $18K
99215 Prolong outpt/office vis 198 197 $17K
94618 889 882 $17K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 252 252 $15K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,720 1,697 $12K
99406 1,004 983 $8K
95806 118 118 $6K
71046 Radiologic examination, chest; 2 views 235 234 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 22 13 $483.78
88738 101 101 $291.46
94664 79 77 $60.65