Physician
Pulmonary and Sleep Clinic, PLLC
Pulmonary and Sleep Clinic, PLLC was paid $1K by Medicaid between Apr 2018 and Jul 2019, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 56% of everything it billed.
33Billing provider infoPULMONARY AND SLEEP CLINIC, PLLC
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
33aNPI1790709327assigned 07/27/2006
33bProvider typePulmonary Disease Physician
28Total paid$1K
24GClaims76
24DCodes billed3
24AFirst – last monthApr 2018 – Jul 2019
Compared with peers
Next to other Pulmonary Disease Physician providers in Kentucky
Rank by total paid#14 of 16
Median peer was paid$20K
This provider vs. median0.1×
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 | 47 | $684.36 | |
| 2019 | 29 | $547.69 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 56% | 47 | 12 | $684.36 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 16 | 15 | $358.69 |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 15% | 13 | 13 | $189.00 |
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 officialCHAVDA, SANJAY (OWNER)