Agency
South Florida Pulmonary Care, INC.
South Florida Pulmonary Care, INC. was paid $653K by Medicaid between Feb 2018 and Sep 2024, across 18 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 79% of everything it billed.
33Billing provider infoSOUTH FLORIDA PULMONARY CARE, INC.
MIAMI LAKES, FL 33014
MIAMI LAKES, FL 33014
33aNPI1619930450assigned 04/11/2006
33bProvider typeCase Management Agency
28Total paid$653K
24GClaims16,892
24DCodes billed18
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other Case Management Agency providers in Florida
Rank by total paid#194 of 357
Median peer was paid$839K
This provider vs. median0.8×
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 | 450 | $6K | |
| 2019 | 2,355 | $79K | |
| 2020 | 3,565 | $114K | |
| 2021 | 4,126 | $175K | |
| 2022 | 3,009 | $108K | |
| 2023 | 2,423 | $143K | |
| 2024incomplete | 964 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 79% | 2,538 | 1,144 | $513K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 7.7% | 589 | 425 | $50K |
| A4605 | Tracheal suction catheter, closed system, each | 3.6% | 472 | 301 | $23K |
| A4623 | Tracheostomy, inner cannula | 2.8% | 918 | 664 | $18K |
| A7526 | Tracheostomy tube collar/holder, each | 2.2% | 1,103 | 770 | $14K |
| A4629 | Tracheostomy care kit for established tracheostomy | 1.5% | 2,245 | 1,478 | $10K |
| A4618 | Breathing circuits | 1.1% | 865 | 580 | $7K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 2,135 | 1,447 | $4K |
| A7002 | Tubing, used with suction pump, each | <1% | 2,158 | 1,439 | $3K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 13 | 12 | $3K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,664 | 1,116 | $2K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 1,478 | 894 | $2K |
6 more codes
| A7010 | Corrugated tubing, disposable, used with large volume nebulizer, 100 feet | <1% | 65 | $1K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 103 | $265.35 |
| A7007 | Large volume nebulizer, disposable, unfilled, used with aerosol compressor | <1% | 138 | $115.28 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 55 | $59.32 |
| A7509 | Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each | <1% | 56 | $4.92 |
| A7508 | Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each | 0% | 297 | $0.00 |
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 officialPADRON, ERNESTO (PRESIDENT)