Clinic
Central Georgia Pulmonary Associates, LLC
Central Georgia Pulmonary Associates, LLC was paid $54K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoCENTRAL GEORGIA PULMONARY ASSOCIATES, LLC
MACON, GA 31201
MACON, GA 31201
33aNPI1669521902assigned 01/09/2007
33bProvider typeSleep Disorder Diagnostic Clinic/Center
28Total paid$54K
24GClaims1,988
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
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 | 341 | $4K | |
| 2019 | 140 | $2K | |
| 2020 | 237 | $4K | |
| 2021 | 269 | $6K | |
| 2022 | 173 | $5K | |
| 2023 | 338 | $13K | |
| 2024incomplete | 490 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 1,017 | 928 | $24K |
| 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 | 35% | 383 | 347 | $19K |
| 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 | 6.4% | 60 | 53 | $3K |
| 94729 | 6.0% | 159 | 151 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 169 | 51 | $3K |
| 94727 | 1.0% | 27 | 25 | $541.34 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 39 | 12 | $508.86 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 55 | 46 | $426.63 |
| 94060 | <1% | 12 | 12 | $342.40 | |
| 94726 | <1% | 13 | 13 | $294.56 | |
| 99072 | 0% | 15 | 14 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 39 | 38 | $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 officialSPENCE, CLAY (ADMINISTRATOR)