Physician
Pulmonary & Critical Care Associates of Modesto INC
Pulmonary & Critical Care Associates of Modesto INC was paid $1.99M by Medicaid between Dec 2019 and Nov 2024, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 72% of everything it billed.
33Billing provider infoPULMONARY & CRITICAL CARE ASSOCIATES OF MODESTO INC
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1669849394assigned 08/28/2015
33bProvider typePulmonary Disease Physician
28Total paid$1.99M
24GClaims21,770
24DCodes billed5
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in California
Rank by total paid#12 of 225
Median peer was paid$53K
This provider vs. median37×
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 | |
|---|---|---|---|
| 2019 | 63 | $3K | |
| 2020 | 172 | $7K | |
| 2021 | 3,627 | $322K | |
| 2022 | 4,968 | $592K | |
| 2023 | 6,140 | $500K | |
| 2024incomplete | 6,800 | $562K |
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 | 72% | 11,244 | 4,651 | $1.43M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 8,672 | 4,787 | $411K |
| 99223 | Prolong inpt eval add15 m | 6.9% | 1,713 | 1,699 | $137K |
| 95816 | <1% | 66 | 60 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 75 | 51 | $2K |
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 officialSINGH, RAMANJEET (OWNER)