Physician
Pulmonary Rehabilitation Associates
Pulmonary Rehabilitation Associates was paid $990K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 35% of everything it billed.
33Billing provider infoPULMONARY REHABILITATION ASSOCIATES
YOUNGSTOWN, OH 44512
YOUNGSTOWN, OH 44512
33aNPI1720205065assigned 04/19/2007
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$990K
24GClaims44,059
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#3 of 31
Median peer was paid$60K
This provider vs. median16×
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 | 8,127 | $152K | |
| 2019 | 8,563 | $187K | |
| 2020 | 5,904 | $125K | |
| 2021 | 8,026 | $190K | |
| 2022 | 6,473 | $155K | |
| 2023 | 4,421 | $97K | |
| 2024incomplete | 2,545 | $84K |
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 | 35% | 8,327 | 3,067 | $343K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 32% | 13,374 | 5,138 | $316K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 7.2% | 1,291 | 1,235 | $71K |
| 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 | 6.5% | 1,701 | 1,525 | $64K |
| 95811 | 5.9% | 959 | 924 | $59K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 1,825 | 1,693 | $47K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.6% | 1,176 | 1,077 | $36K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 2,178 | 1,135 | $32K |
| 94060 | <1% | 294 | 282 | $6K | |
| 99223 | Prolong inpt eval add15 m | <1% | 98 | 94 | $6K |
| 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 | <1% | 64 | 63 | $4K |
| 94729 | <1% | 277 | 266 | $3K |
18 more codes
| 94726 | <1% | 270 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $470.55 |
| 95806 | <1% | 27 | $346.44 | |
| 99442 | <1% | 19 | $184.64 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $182.68 |
| 85013 | <1% | 69 | $169.11 | |
| 99406 | <1% | 14 | $87.69 | |
| G8482 | Influenza immunization administered or previously received | 0% | 223 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,806 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,701 | $0.00 |
| 4004F | 0% | 242 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 1,024 | $0.00 |
| 3023F | 0% | 339 | $0.00 | |
| 4040F | 0% | 14 | $0.00 | |
| 1036F | 0% | 2,559 | $0.00 | |
| G8926 | Spirometry test not performed or documented, reason not given | 0% | 83 | $0.00 |
| 1123F | 0% | 41 | $0.00 | |
| 3017F | 0% | 39 | $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 officialSHUNTICH, MARIJO (CHIEF OPERATING OFFICER)