Medicaid Provider Spending

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

PENSACOLA LUNG GROUP, M.D.'S, P.A.

NPI: 1619196151 · PENSACOLA, FL 32503 · Specialist · NPI assigned 04/24/2007

$957K
Total Medicaid Paid
25,168
Total Claims
8,451
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCDANIEL, APRIL (BILLING SUPERVISOR)
NPI Enumeration Date04/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,426 $39K
2019 2,514 $66K
2020 3,641 $134K
2021 5,233 $231K
2022 4,827 $176K
2023 6,007 $269K
2024 1,520 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 10,245 3,331 $619K
99233 Prolong inpt eval add15 m 14,003 4,603 $322K
99223 Prolong inpt eval add15 m 189 150 $8K
99232 Subsequent hospital care, per day, moderate complexity 545 199 $6K
99215 Prolong outpt/office vis 59 51 $865.53
99292 29 26 $639.00
94060 14 13 $243.92
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46 40 $193.40
94729 14 14 $35.94
94727 12 12 $33.24
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 12 12 $6.12