East Bay Pulmonary Medical Group

East Bay Pulmonary Medical Group was paid $165K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 86% of everything it billed.

33Billing provider infoEAST BAY PULMONARY MEDICAL GROUP
ALAMEDA, CA 94501

33aNPI1720184716assigned 09/16/2006

33bProvider typePulmonary Disease Physician

28Total paid$165K

24GClaims7,541

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in California

Rank by total paid#65 of 225

Median peer was paid$53K

This provider vs. median3.1×

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	1,170	$28K
2019	1,652	$31K
2020	1,423	$21K
2021	954	$22K
2022	721	$16K
2023	1,031	$25K
2024incomplete	590	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	86%	5,535	1,141	$142K
99307		11%	1,827	297	$19K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.7%	73	57	$3K
99308	Subsequent nursing facility care, per day, straightforward	1.3%	92	67	$2K
31502		<1%	14	14	$375.27

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 officialLOWERY, WILLIAM (DOCTOR)