Physician
Premier Pulmonary Critical Care and Sleep Medicine, PA
Premier Pulmonary Critical Care and Sleep Medicine, PA was paid $132K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoPREMIER PULMONARY CRITICAL CARE AND SLEEP MEDICINE, PA
DENISON, TX 75020
DENISON, TX 75020
33aNPI1740557909assigned 11/16/2011
33bProvider typeInternal Medicine Physician
28Total paid$132K
24GClaims5,676
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#192 of 1,028
Median peer was paid$10K
This provider vs. median13×
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 | 841 | $321.74 | |
| 2019 | 458 | $77.84 | |
| 2020 | 537 | $2K | |
| 2021 | 1,074 | $24K | |
| 2022 | 1,204 | $40K | |
| 2023 | 1,050 | $44K | |
| 2024incomplete | 512 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 58% | 2,029 | 1,889 | $76K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.8% | 645 | 159 | $13K |
| 94729 | 7.8% | 329 | 316 | $10K | |
| 94726 | 5.8% | 265 | 252 | $8K | |
| 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 | 5.6% | 80 | 80 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 700 | 677 | $7K |
| 94060 | 2.9% | 168 | 162 | $4K | |
| 94618 | 2.1% | 148 | 136 | $3K | |
| 99223 | Prolong inpt eval add15 m | 1.4% | 27 | 25 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $1K |
| 94010 | <1% | 29 | 29 | $573.44 | |
| 94375 | <1% | 27 | 25 | $30.21 |
6 more codes
| G8924 | Spirometry results documented (fev1/fvc < 70%) | 0% | 259 | $0.00 |
| 1036F | 0% | 143 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 84 | $0.00 |
| 3023F | 0% | 371 | $0.00 | |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 347 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | $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 officialKABLE, SANOBER (CHAIR)