Infectious Disease & Pulmonary Consultants, PLLC

Infectious Disease & Pulmonary Consultants, PLLC was paid $62K by Medicaid between Jan 2018 and Mar 2023, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 32% of everything it billed.

33Billing provider infoINFECTIOUS DISEASE & PULMONARY CONSULTANTS, PLLC
VICTORIA, TX 77901

33aNPI1609208768assigned 07/31/2013

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$62K

24GClaims7,041

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Texas

Rank by total paid#18 of 64

Median peer was paid$18K

This provider vs. median3.5×

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	1,481	$2K
2019	824	$704.48
2020	2,090	$5K
2021	1,799	$46K
2022	778	$5K
2023	69	$2K

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	32%	302	65	$20K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	28%	2,422	936	$17K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	25%	3,508	771	$15K
99222	Initial hospital care, per day, moderate complexity	16%	809	713	$10K

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 officialCASTILLA, CARRIE (OFFICE MANAGER)