Pulmonary Services LLC
Pulmonary Services LLC was paid $298K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPULMONARY SERVICES LLC
CHARLESTON, WV 25304
CHARLESTON, WV 25304
33aNPI1609993054assigned 03/23/2007
33bProvider typeSpecialist
28Total paid$298K
24GClaims7,613
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in West Virginia
Rank by total paid#33 of 71
Median peer was paid$232K
This provider vs. median1.3×
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 | 2,121 | $113K | |
| 2019 | 1,192 | $57K | |
| 2020 | 1,600 | $53K | |
| 2021 | 971 | $26K | |
| 2022 | 661 | $19K | |
| 2023 | 586 | $17K | |
| 2024incomplete | 482 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 3,840 | 3,323 | $121K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 37% | 2,288 | 753 | $110K |
| 94060 | 6.1% | 482 | 432 | $18K | |
| 99223 | Prolong inpt eval add15 m | 4.3% | 117 | 109 | $13K |
| 94726 | 3.6% | 271 | 246 | $11K | |
| 94729 | 2.8% | 186 | 170 | $8K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.3% | 111 | 50 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.5% | 103 | 30 | $4K |
| 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 | 1.4% | 49 | 41 | $4K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 51 | 51 | $715.18 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | 13 | $665.53 |
| 4040F | <1% | 49 | 49 | $342.81 |
3 more codes
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 officialKIDD, YOLANDA (BILLING)