Physician
Pulmonary Associates, PC
Pulmonary Associates, PC was paid $6.34M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 48% of everything it billed.
33Billing provider infoPULMONARY ASSOCIATES, PC
FLINT, MI 48532
FLINT, MI 48532
33aNPI1669428926assigned 05/26/2006
33bProvider typePulmonary Disease Physician
28Total paid$6.34M
24GClaims84,997
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Michigan
Rank by total paid#2 of 63
Median peer was paid$118K
This provider vs. median54×
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 | 10,621 | $709K | |
| 2019 | 11,046 | $728K | |
| 2020 | 11,417 | $849K | |
| 2021 | 14,599 | $1.16M | |
| 2022 | 14,363 | $1.09M | |
| 2023 | 12,246 | $935K | |
| 2024incomplete | 10,705 | $869K |
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 | 48% | 26,500 | 6,120 | $3.06M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 24,221 | 6,759 | $1.34M |
| 99223 | Prolong inpt eval add15 m | 5.0% | 3,214 | 3,078 | $320K |
| 95811 | 4.4% | 1,525 | 1,458 | $281K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.8% | 3,150 | 3,104 | $243K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.6% | 1,243 | 1,228 | $227K |
| 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 | 3.0% | 3,153 | 3,090 | $187K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 3,584 | 2,046 | $133K |
| 94726 | 1.7% | 4,545 | 4,527 | $108K | |
| 94729 | 1.7% | 4,319 | 4,303 | $106K | |
| 94060 | 1.5% | 4,433 | 4,416 | $94K | |
| 99205 | Prolong outpt/office vis | 1.2% | 746 | 742 | $77K |
12 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 754 | $66K |
| 95806 | <1% | 1,030 | $54K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,843 | $30K |
| 99442 | <1% | 113 | $5K | |
| 99443 | <1% | 76 | $5K | |
| 36556 | <1% | 93 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 55 | $2K |
| 76937 | <1% | 287 | $2K | |
| 94375 | <1% | 76 | $861.43 | |
| 32555 | <1% | 12 | $735.69 | |
| 36620 | <1% | 13 | $337.46 | |
| 94618 | <1% | 12 | $177.02 |
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 officialPATEL, PIYUSH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jackson Radiology Consultants, P C | Jackson, MI | $4.59M |
| Advanced Medical Care LLC | Germantown, MD | $2.54M |
| Piyush R Patel MD, PC | Centreville, VA | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.