Lung and Chest, PSC

Lung and Chest, PSC was paid $30K by Medicaid between Apr 2019 and Apr 2020, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 50% of everything it billed.

33Billing provider infoLUNG AND CHEST, PSC
OWENSBORO, KY 42303

33aNPI1679047906assigned 01/21/2019

33bProvider typePulmonary Disease Physician

28Total paid$30K

24GClaims1,140

24DCodes billed8

24AFirst – last monthApr 2019 – Apr 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in Kentucky

Rank by total paid#8 of 16

Median peer was paid$20K

This provider vs. median1.5×

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	982	$25K
2020	158	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	50%	356	313	$15K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	20%	355	103	$6K
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	11%	120	106	$3K
94060		7.2%	106	96	$2K
94729		6.5%	105	95	$2K
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	3.7%	30	25	$1K
99406		<1%	55	49	$292.58
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%	13	13	$265.68

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 officialDEDAJ, REJMON (OWNER)