Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUEFIELD PULMONARY CONSULTANTS, INC.

NPI: 1689719403 · BLUEFIELD, VA 24605 · Sleep Disorder Diagnostic Clinic/Center · NPI assigned 02/20/2007

$219K
Total Medicaid Paid
5,317
Total Claims
4,368
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialFIGUEROA, OSCAR (C.E.O.)
NPI Enumeration Date02/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 957 $43K
2019 652 $19K
2020 1,019 $54K
2021 1,109 $40K
2022 865 $32K
2023 648 $30K
2024 67 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,598 3,045 $134K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 520 456 $36K
95810 Polysomnography; sleep staging with 4 or more additional parameters 45 38 $12K
99232 Subsequent hospital care, per day, moderate complexity 172 43 $11K
99223 Prolong inpt eval add15 m 98 76 $8K
94060 204 156 $4K
94726 182 146 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 107 96 $4K
99233 Prolong inpt eval add15 m 38 12 $3K
99490 Ccm add 20min 179 171 $1K
94729 64 52 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $698.51
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 77 53 $315.36
G8420 Bmi is documented within normal parameters and no follow-up plan is required 19 12 $311.24