Physician
KC Pulmonary Associates, INC
KC Pulmonary Associates, INC was paid $62K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.
33Billing provider infoKC PULMONARY ASSOCIATES, INC
SHAWNEE, KS 66217
SHAWNEE, KS 66217
33aNPI1730286733assigned 09/20/2006
33bProvider typePulmonary Disease Physician
28Total paid$62K
24GClaims4,612
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Kansas
Rank by total paid#6 of 10
Median peer was paid$62K
This provider vs. median1.0×
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 | 1,291 | $11K | |
| 2019 | 1,374 | $20K | |
| 2020 | 1,012 | $16K | |
| 2021 | 369 | $5K | |
| 2022 | 319 | $4K | |
| 2023 | 90 | $0.00 | |
| 2024incomplete | 157 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 47% | 3,119 | 1,089 | $30K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 25% | 267 | 103 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 23% | 1,069 | 410 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.0% | 124 | 112 | $3K |
| 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% | 16 | 13 | $256.88 |
| 99254 | 0% | 17 | 14 | $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 officialSISILLO, SABATO (OWNER)