Physician
Pulmonary Disease Specialists, PA
Pulmonary Disease Specialists, PA was paid $200K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 44% of everything it billed.
33Billing provider infoPULMONARY DISEASE SPECIALISTS, PA
KISSIMMEE, FL 34741
KISSIMMEE, FL 34741
33aNPI1649484809assigned 05/09/2007
33bProvider typePulmonary Disease Physician
28Total paid$200K
24GClaims11,630
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Florida
Rank by total paid#25 of 142
Median peer was paid$11K
This provider vs. median18×
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 | 433 | $2K | |
| 2019 | 2,556 | $50K | |
| 2020 | 2,893 | $43K | |
| 2021 | 2,730 | $44K | |
| 2022 | 1,955 | $45K | |
| 2023 | 661 | $13K | |
| 2024incomplete | 402 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 44% | 5,076 | 1,867 | $88K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 5,280 | 1,420 | $57K |
| 99223 | Prolong inpt eval add15 m | 19% | 660 | 494 | $37K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 9.0% | 386 | 94 | $18K |
| 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 | <1% | 129 | 95 | $143.38 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 52 | 42 | $57.95 |
| 94726 | 0% | 15 | 12 | $0.00 | |
| 94060 | 0% | 16 | 13 | $0.00 | |
| 94729 | 0% | 16 | 13 | $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 officialO'BRIEN, THOMAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Thomas G. O'brien II, Ms,do,pc | New York, NY | $891.81 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.