Lung and Sleep Specialists, PLLC

Lung and Sleep Specialists, PLLC was paid $1.96M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 30% of everything it billed.

33Billing provider infoLUNG AND SLEEP SPECIALISTS, PLLC
NEW ALBANY, IN 47150

33aNPI1699860346assigned 10/04/2006

33bProvider typePulmonary Disease Physician

28Total paid$1.96M

24GClaims48,866

24DCodes billed31

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Indiana

Rank by total paid#2 of 25

Median peer was paid$22K

This provider vs. median89×

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	4,328	$99K
2019	4,669	$162K
2020	6,497	$254K
2021	8,715	$411K
2022	10,776	$487K
2023	8,464	$323K
2024incomplete	5,417	$226K

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	30%	16,915	3,589	$592K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	16%	3,140	788	$306K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	15%	5,058	4,629	$299K
99223	Prolong inpt eval add15 m	10%	2,880	2,587	$201K
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	7.6%	3,194	2,922	$149K
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	5.2%	1,400	1,259	$102K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.1%	4,315	1,214	$100K
99307		2.5%	4,796	2,817	$48K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	1,004	911	$38K
31624		1.5%	664	565	$30K
31645		<1%	273	216	$19K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	166	154	$17K

19 more codes

95806		<1%	334	$15K
99406		<1%	1,184	$7K
99243		<1%	67	$5K
95811		<1%	55	$5K
99203	Doctor's office visit, new patient (routine)	<1%	73	$4K
99306	Prolong nursin fac eval 15m	<1%	84	$4K
94726		<1%	614	$4K
94060		<1%	616	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	275	$3K
94729		<1%	617	$3K
99442		<1%	145	$2K
99305		<1%	128	$2K
99441		<1%	90	$983.16
94664		<1%	123	$596.57
99308	Subsequent nursing facility care, per day, straightforward	<1%	53	$275.13
94375		<1%	100	$116.46
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	17	$94.72
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	13	$65.51
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	473	$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 officialDRAW, AZMI (OWNER)