Physician
Pulmonary Critical Care Associates, PC
Pulmonary Critical Care Associates, PC was paid $376K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 30% of everything it billed.
33Billing provider infoPULMONARY CRITICAL CARE ASSOCIATES, PC
WASHINGTON, DC 20017
WASHINGTON, DC 20017
33aNPI1780695973assigned 08/11/2006
33bProvider typePulmonary Disease Physician
28Total paid$376K
24GClaims14,094
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in District of Columbia
Rank by total paid#3 of 6
Median peer was paid$1K
This provider vs. median297×
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 | 3,123 | $86K | |
| 2019 | 2,810 | $82K | |
| 2020 | 1,843 | $45K | |
| 2021 | 1,511 | $32K | |
| 2022 | 1,801 | $44K | |
| 2023 | 1,901 | $56K | |
| 2024incomplete | 1,105 | $31K |
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 | 30% | 3,958 | 918 | $114K |
| 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% | 3,112 | 2,148 | $106K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 4,302 | 1,170 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,923 | 1,371 | $40K |
| 99223 | Prolong inpt eval add15 m | 5.5% | 254 | 217 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 128 | 86 | $6K |
| 94621 | <1% | 41 | 25 | $1K | |
| 94726 | <1% | 74 | 51 | $1K | |
| 94729 | <1% | 75 | 50 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | 52 | $863.77 |
| 94010 | <1% | 79 | 51 | $563.68 | |
| 94618 | <1% | 57 | 29 | $426.22 |
1 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $248.82 |
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 officialPOLK, OCTAVIUS (TREASURER)