Physician
Pulmonary and Sleep Medicine PC
Pulmonary and Sleep Medicine PC was paid $872K by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 19% of everything it billed.
33Billing provider infoPULMONARY AND SLEEP MEDICINE PC
RIVERVIEW, MI 48193
RIVERVIEW, MI 48193
33aNPI1710282215assigned 01/14/2011
33bProvider typePulmonary Disease Physician
28Total paid$872K
24GClaims18,744
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Michigan
Rank by total paid#16 of 63
Median peer was paid$118K
This provider vs. median7.4×
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 | 3,504 | $154K | |
| 2019 | 4,757 | $162K | |
| 2020 | 3,437 | $200K | |
| 2021 | 3,926 | $197K | |
| 2022 | 2,623 | $125K | |
| 2023 | 212 | $15K | |
| 2024incomplete | 285 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 19% | 1,420 | 469 | $169K |
| 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 | 17% | 2,286 | 2,134 | $150K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 2,608 | 1,091 | $142K |
| 99205 | Prolong outpt/office vis | 15% | 1,274 | 1,259 | $135K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 1,433 | 1,332 | $111K |
| 99223 | Prolong inpt eval add15 m | 11% | 949 | 905 | $98K |
| 94070 | 1.4% | 394 | 373 | $12K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 317 | 156 | $12K |
| 95811 | 1.0% | 24 | 24 | $9K | |
| 94729 | <1% | 257 | 255 | $8K | |
| 94727 | <1% | 251 | 250 | $6K | |
| 99490 | Ccm add 20min | <1% | 323 | 323 | $3K |
32 more codes
| 94010 | <1% | 203 | $3K | |
| 99401 | <1% | 468 | $3K | |
| 95806 | <1% | 41 | $3K | |
| 99407 | <1% | 164 | $2K | |
| 94664 | <1% | 742 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 99406 | <1% | 136 | $832.40 | |
| 94375 | <1% | 27 | $489.58 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 12 | $400.95 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 12 | $331.20 |
| 94200 | <1% | 27 | $309.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 111 | $266.12 |
| 94618 | <1% | 12 | $260.76 | |
| 94016 | <1% | 253 | $182.73 | |
| 94150 | <1% | 15 | $144.60 | |
| 93000 | <1% | 16 | $129.95 | |
| 99072 | <1% | 1,080 | $71.00 | |
| 96160 | <1% | 33 | $70.78 | |
| 99091 | <1% | 40 | $34.65 | |
| 96127 | <1% | 13 | $33.66 | |
| 3074F | <1% | 219 | $0.25 | |
| 3078F | <1% | 218 | $0.24 | |
| 2000F | <1% | 603 | $0.03 | |
| 1005F | <1% | 442 | $0.01 | |
| 1022F | <1% | 637 | $0.01 | |
| 1015F | <1% | 236 | $0.01 | |
| 3288F | 0% | 499 | $0.00 | |
| 4035F | 0% | 13 | $0.00 | |
| 98960 | 0% | 43 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 231 | $0.00 |
| 1030F | 0% | 464 | $0.00 | |
| 94760 | 0% | 186 | $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 officialASMI, ASKER (PRESIDENT)