Physician
Prime Pulmonary & Sleep Medicine Center, INC
Prime Pulmonary & Sleep Medicine Center, INC was paid $4.87M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 15% of everything it billed.
33Billing provider infoPRIME PULMONARY & SLEEP MEDICINE CENTER, INC
BAKERSFIELD, CA 93312
BAKERSFIELD, CA 93312
33aNPI1629511886assigned 11/21/2016
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$4.87M
24GClaims64,694
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in California
Rank by total paid#4 of 136
Median peer was paid$38K
This provider vs. median129×
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 | 1,082 | $52K | |
| 2019 | 3,798 | $341K | |
| 2020 | 10,143 | $649K | |
| 2021 | 14,915 | $997K | |
| 2022 | 12,720 | $1.03M | |
| 2023 | 13,450 | $960K | |
| 2024incomplete | 8,586 | $841K |
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 | 15% | 6,163 | 2,045 | $735K |
| 95811 | 15% | 1,799 | 1,795 | $726K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 11,333 | 11,123 | $682K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 9.6% | 1,213 | 1,211 | $467K |
| 94617 | 9.1% | 4,940 | 4,914 | $444K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.2% | 6,641 | 6,589 | $399K |
| 99205 | Prolong outpt/office vis | 5.5% | 2,897 | 2,891 | $270K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.8% | 5,686 | 1,939 | $233K |
| 94726 | 4.8% | 5,395 | 5,364 | $233K | |
| 94729 | 4.7% | 5,499 | 5,474 | $231K | |
| 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 | 3.0% | 1,467 | 1,462 | $148K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 1,435 | 1,404 | $127K |
8 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 2.1% | 3,062 | $101K |
| 94664 | <1% | 5,736 | $42K | |
| 99407 | <1% | 952 | $19K | |
| 94060 | <1% | 248 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $2K |
| 94618 | <1% | 119 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 57 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 19 | $199.32 |
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 officialVAGHASIA, PRAMIL (PRESIDENT)