Pediatric Lung & Asthma Center, PLLC
Pediatric Lung & Asthma Center, PLLC was paid $112K by Medicaid between Jan 2018 and May 2024, across 7 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 75% of everything it billed.
33Billing provider infoPEDIATRIC LUNG & ASTHMA CENTER, PLLC
MORGANTOWN, WV 26505
MORGANTOWN, WV 26505
33aNPI1740685932assigned 10/30/2014
33bProvider typeSpecialist
28Total paid$112K
24GClaims1,790
24DCodes billed7
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Specialist providers in West Virginia
Rank by total paid#44 of 71
Median peer was paid$232K
This provider vs. median0.5×
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 | 508 | $39K | |
| 2019 | 178 | $13K | |
| 2020 | 734 | $39K | |
| 2021 | 186 | $11K | |
| 2022 | 75 | $5K | |
| 2023 | 59 | $2K | |
| 2024incomplete | 50 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 75% | 872 | 721 | $84K |
| 94760 | 16% | 577 | 520 | $17K | |
| 94060 | 6.4% | 109 | 88 | $7K | |
| 94664 | 2.3% | 123 | 95 | $3K | |
| 90686 | <1% | 51 | 47 | $220.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 15 | $136.00 |
| 2015F | 0% | 43 | 28 | $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 officialSOTOMAYOR VALENZUELA, TALIA (PEDIATRIC PULMONOLOGIST/OWNER)