Physician
Los Angeles Lung Center a Professional Medical Corp
Los Angeles Lung Center a Professional Medical Corp was paid $3.33M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 18% of everything it billed.
33Billing provider infoLOS ANGELES LUNG CENTER A PROFESSIONAL MEDICAL CORP
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
33aNPI1790815082assigned 03/06/2007
33bProvider typePulmonary Disease Physician
28Total paid$3.33M
24GClaims74,756
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in California
Rank by total paid#6 of 225
Median peer was paid$53K
This provider vs. median62×
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 | 5,467 | $173K | |
| 2019 | 5,342 | $209K | |
| 2020 | 8,743 | $435K | |
| 2021 | 9,278 | $545K | |
| 2022 | 11,809 | $627K | |
| 2023 | 13,963 | $722K | |
| 2024incomplete | 20,154 | $623K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 18% | 8,504 | 2,080 | $615K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 17% | 6,900 | 6,584 | $567K |
| 99310 | Prolong nursin fac eval 15m | 16% | 11,772 | 4,191 | $521K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 10,814 | 2,274 | $364K |
| 99205 | Prolong outpt/office vis | 9.0% | 3,084 | 3,075 | $300K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.1% | 5,041 | 2,404 | $135K |
| 99223 | Prolong inpt eval add15 m | 3.6% | 1,532 | 1,499 | $119K |
| 94729 | 3.4% | 3,351 | 3,317 | $112K | |
| 94726 | 3.1% | 3,373 | 3,338 | $103K | |
| 94060 | 2.8% | 3,343 | 3,309 | $93K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 1,824 | 1,794 | $78K |
| 94618 | 1.9% | 2,989 | 2,948 | $62K |
21 more codes
| 94003 | 1.6% | 2,041 | $52K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.5% | 1,040 | $51K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 545 | $41K |
| 99418 | Prolong nursin fac eval 15m | 1.1% | 1,552 | $37K |
| 94002 | <1% | 589 | $19K | |
| 99255 | <1% | 221 | $15K | |
| 94375 | <1% | 964 | $15K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,925 | $12K |
| 94200 | <1% | 1,444 | $11K | |
| 94760 | <1% | 1,155 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 71 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 84 | $1K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 36 | $1K |
| 99490 | Ccm add 20min | <1% | 140 | $904.87 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 37 | $868.05 |
| 94664 | <1% | 56 | $572.39 | |
| 99406 | <1% | 110 | $475.45 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 156 | $275.72 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $164.03 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 37 | $132.80 |
| 99305 | <1% | 13 | $46.43 |
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 officialABRISHAMI, BABAK (PRESIDENT)