Physician
Associates in Pulmonary and Critical Care Medicine INC
Associates in Pulmonary and Critical Care Medicine INC was paid $259K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 74% of everything it billed.
33Billing provider infoASSOCIATES IN PULMONARY AND CRITICAL CARE MEDICINE INC
BOARDMAN, OH 44512
BOARDMAN, OH 44512
33aNPI1689114027assigned 03/05/2017
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$259K
24GClaims13,362
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#13 of 31
Median peer was paid$60K
This provider vs. median4.3×
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 | 1,410 | $23K | |
| 2019 | 1,709 | $24K | |
| 2020 | 1,852 | $32K | |
| 2021 | 3,329 | $77K | |
| 2022 | 3,084 | $62K | |
| 2023 | 1,104 | $22K | |
| 2024incomplete | 874 | $20K |
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 | 74% | 9,997 | 2,751 | $192K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,609 | 1,471 | $37K |
| 99254 | 6.5% | 280 | 271 | $17K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.2% | 304 | 285 | $6K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.5% | 96 | 36 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 254 | 89 | $2K |
| 94060 | <1% | 136 | 134 | $1K | |
| 94727 | <1% | 138 | 134 | $480.94 | |
| 94729 | <1% | 91 | 89 | $223.10 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 332 | 325 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 98 | 96 | $0.00 |
| 1036F | 0% | 27 | 27 | $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 officialPROIA, NICHOLAS (OWNER/PRESIDENT)