Physician
Pulmonary Consultants INC.
Pulmonary Consultants INC. was paid $354K by Medicaid between Nov 2020 and Jul 2024, across 9 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 79% of everything it billed.
33Billing provider infoPULMONARY CONSULTANTS INC.
UPLAND, PA 19013
UPLAND, PA 19013
33aNPI1720199284assigned 08/31/2006
33bProvider typePulmonary Disease Physician
28Total paid$354K
24GClaims5,954
24DCodes billed9
24AFirst – last monthNov 2020 – Jul 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#6 of 137
Median peer was paid$7K
This provider vs. median50×
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 | |
|---|---|---|---|
| 2020 | 578 | $17K | |
| 2021 | 1,993 | $100K | |
| 2022 | 1,810 | $96K | |
| 2023 | 1,079 | $88K | |
| 2024incomplete | 494 | $54K |
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 | 79% | 2,628 | 1,085 | $280K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 2,775 | 1,052 | $63K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 431 | 234 | $9K |
| 99223 | Prolong inpt eval add15 m | <1% | 52 | 48 | $2K |
| 94375 | <1% | 13 | 12 | $274.42 | |
| 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 | <1% | 13 | 13 | $225.84 |
| 94727 | <1% | 14 | 13 | $110.14 | |
| 94060 | <1% | 14 | 13 | $87.02 | |
| 94729 | <1% | 14 | 13 | $73.50 |
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 officialWENDELL, GARY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Dover Pediatric Dentistry & Orthodontics PLLC | Dover, NH | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.