NP / PA
Pulmonary and Sleep Associates LLC
Pulmonary and Sleep Associates LLC was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoPULMONARY AND SLEEP ASSOCIATES LLC
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1750678728assigned 06/29/2011
33bProvider typeFamily Nurse Practitioner
28Total paid$1.14M
24GClaims27,570
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#17 of 424
Median peer was paid$19K
This provider vs. median61×
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 | 4,376 | $204K | |
| 2019 | 4,875 | $208K | |
| 2020 | 3,985 | $181K | |
| 2021 | 5,193 | $188K | |
| 2022 | 4,186 | $151K | |
| 2023 | 3,172 | $132K | |
| 2024incomplete | 1,783 | $74K |
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 | 28% | 9,316 | 8,388 | $314K |
| 95806 | 25% | 1,697 | 1,528 | $288K | |
| 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 | 15% | 2,529 | 2,363 | $177K |
| 94060 | 5.3% | 2,310 | 2,183 | $61K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.9% | 2,463 | 724 | $56K |
| 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% | 2,538 | 2,247 | $55K |
| 94729 | 4.7% | 2,462 | 2,323 | $53K | |
| 94727 | 4.0% | 2,471 | 2,329 | $45K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.8% | 649 | 186 | $44K |
| 95811 | 1.4% | 176 | 168 | $16K | |
| 99223 | Prolong inpt eval add15 m | 1.1% | 274 | 245 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 572 | 528 | $9K |
2 more codes
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 97 | $9K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 16 | $152.41 |
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 officialAHMED, MATEEN (SOLE OWNER)