Clay Pulmonary Services PA

Clay Pulmonary Services PA was paid $56K by Medicaid between Apr 2018 and Dec 2023, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 63% of everything it billed.

33Billing provider infoCLAY PULMONARY SERVICES PA
ORANGE PARK, FL 32073

33aNPI1780071613assigned 04/17/2015

33bProvider typePulmonary Disease Physician

28Total paid$56K

24GClaims2,403

24DCodes billed4

24AFirst – last monthApr 2018 – Dec 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in Florida

Rank by total paid#44 of 142

Median peer was paid$11K

This provider vs. median5.0×

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	65	$112.51
2019	120	$4K
2020	791	$21K
2021	928	$23K
2022	185	$4K
2023	314	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	63%	1,516	319	$35K
99223	Prolong inpt eval add15 m	25%	196	151	$14K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.9%	306	80	$4K
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	4.2%	385	292	$2K

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 officialANTONIO-MIRANDA, MARIA (OWNER)