Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PUEBLO PULMONARY ASSOCIATES

NPI: 1760688444 · PUEBLO, CO 81003 · Pulmonary Disease Physician · NPI assigned 06/21/2007

$5.35M
Total Medicaid Paid
102,158
Total Claims
74,570
Beneficiaries
37
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialSHAPIRO, CRAIG (MANAGING PARTNER)
NPI Enumeration Date06/21/2007

Related Entities

Other providers sharing the same authorized official: SHAPIRO, CRAIG

ProviderCityStateTotal Paid
MIDDLETOWN DENTAL PC MIDDLETOWN NY $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,372 $775K
2019 19,239 $930K
2020 16,982 $890K
2021 18,819 $988K
2022 17,526 $903K
2023 16,220 $869K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 27,837 11,412 $1.51M
99223 Prolong inpt eval add15 m 9,283 8,524 $938K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,890 14,630 $884K
95811 4,445 3,961 $442K
95810 Polysomnography; sleep staging with 4 or more additional parameters 4,413 3,771 $360K
99232 Subsequent hospital care, per day, moderate complexity 8,609 5,943 $314K
95806 3,443 1,900 $286K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,077 6,380 $272K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,971 1,753 $174K
95800 925 420 $66K
94060 3,585 3,346 $29K
94010 1,460 1,210 $21K
94726 2,943 2,765 $21K
94729 3,046 2,866 $14K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 77 40 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 63 54 $4K
99215 Prolong outpt/office vis 42 32 $2K
94004 413 171 $1K
94618 58 51 $960.63
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53 53 $907.29
99406 33 32 $364.24
99407 27 24 $323.72
99442 15 13 $193.94
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,622 3,470 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 34 31 $0.00
G9695 Long-acting inhaled bronchodilator prescribed 281 275 $0.00
G8484 Influenza immunization was not administered, reason not given 91 88 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 12 12 $0.00
G8482 Influenza immunization administered or previously received 12 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 24 24 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 14 12 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 868 818 $0.00
1036F 345 334 $0.00
1111F 79 77 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 44 42 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 12 12 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 12 12 $0.00