Bluefield Pulmonary Consultants, INC.

Bluefield Pulmonary Consultants, INC. was paid $219K by Medicaid between Jan 2018 and Mar 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoBLUEFIELD PULMONARY CONSULTANTS, INC.
BLUEFIELD, VA 24605

33aNPI1689719403assigned 02/20/2007

33bProvider typeSleep Disorder Diagnostic Clinic/Center

28Total paid$219K

24GClaims5,317

24DCodes billed14

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Sleep Disorder Diagnostic Clinic/Center providers in Virginia

Rank by total paid#2 of 8

Median peer was paid$11K

This provider vs. median21×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	61%	3,598	3,045	$134K
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	16%	520	456	$36K
95810	Polysomnography; sleep staging with 4 or more additional parameters	5.4%	45	38	$12K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.0%	172	43	$11K
99223	Prolong inpt eval add15 m	3.7%	98	76	$8K
94060		1.9%	204	156	$4K
94726		1.8%	182	146	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.7%	107	96	$4K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.6%	38	12	$3K
99490	Ccm add 20min	<1%	179	171	$1K
94729		<1%	64	52	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	14	12	$698.51

2 more codes

G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	77	$315.36
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	19	$311.24

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 officialFIGUEROA, OSCAR (C.E.O.)