Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Tucson Pulmonology, P.C.

Tucson Pulmonology, P.C. was paid $905K by Medicaid between Mar 2018 and Jun 2023, across 18 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 23% of everything it billed.

33Billing provider infoTUCSON PULMONOLOGY, P.C.
TUCSON, AZ 85710
33aNPI1720017429assigned 07/03/2006
28Total paid$905K
24GClaims23,979
24DCodes billed18
24AFirst – last monthMar 2018 – Jun 2023
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Arizona

Rank by total paid#10 of 31
Median peer was paid$567K
This provider vs. median1.6×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,649$58K
20193,591$116K
20203,774$156K
20215,819$254K
20225,956$218K
20233,190$103K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99308 Subsequent nursing facility care, per day, straightforward 23% 6,556 1,934 $205K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 20% 4,099 684 $176K
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 19% 3,655 3,490 $168K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.3% 1,827 1,776 $66K
99309 Subsequent nursing facility care, per day, low to moderate complexity 6.4% 1,397 784 $58K
94375 6.2% 2,382 2,302 $56K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.2% 1,108 261 $56K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.5% 572 551 $32K
94729 3.1% 826 809 $28K
94727 1.6% 559 547 $14K
95806 1.1% 129 127 $10K
99310 Prolong nursin fac eval 15m 1.1% 160 96 $10K
6 more codes
99204 Doctor's office visit, new patient (more involved) <1% 103 $7K
94060 <1% 230 $6K
99306 Prolong nursin fac eval 15m <1% 82 $5K
99215 Doctor's office visit, returning patient (complex) <1% 63 $5K
A4617 Mouth piece <1% 218 $922.77
94618 <1% 13 $229.43

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 officialNOLAN BELANGER, CATHARINE (PRACTICE ADMINISTRATOR)