Clinic
Pediatric Pulmonary and Sleep Specialists, PLLC
Pediatric Pulmonary and Sleep Specialists, PLLC was paid $1.68M by Medicaid between Feb 2019 and Dec 2024, across 9 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 30% of everything it billed.
33Billing provider infoPEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC
COLORADO SPRINGS, CO 80923
COLORADO SPRINGS, CO 80923
33aNPI1801386644assigned 05/17/2018
33bProvider typeSleep Disorder Diagnostic Clinic/Center
28Total paid$1.68M
24GClaims9,162
24DCodes billed9
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Sleep Disorder Diagnostic Clinic/Center providers in Colorado
Rank by total paid#1 of 5
Median peer was paid$169K
This provider vs. median9.9×
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 | |
|---|---|---|---|
| 2019 | 244 | $36K | |
| 2020 | 560 | $95K | |
| 2021 | 1,295 | $183K | |
| 2022 | 1,563 | $241K | |
| 2023 | 3,348 | $566K | |
| 2024incomplete | 2,152 | $555K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 30% | 725 | 667 | $497K |
| 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 | 22% | 3,543 | 2,844 | $372K |
| 99205 | Prolong outpt/office vis | 15% | 1,370 | 1,280 | $257K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 1,832 | 1,589 | $252K |
| 95782 | 9.9% | 165 | 160 | $165K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 1,309 | 1,029 | $98K |
| 95811 | 1.7% | 28 | 28 | $29K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 43 | 39 | $6K |
| 99245 | <1% | 147 | 92 | $1K |
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 officialHARRIS, AMANDA (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Facts of Life in Home Service, INC. | Saint Charles, MO | $92K |
| Pediatric Pulmonary and Sleep Specialists, PLLC | Greeley, CO | $89K |
| Pediatric Pulmonary and Sleep Specialists, PLLC | Colorado Springs, CO | $45K |
| Pediatric Pulmonary and Sleep Specialists, PLLC | Loveland, CO | $38K |
| Pediatric Pulmonary and Sleep Specialists, PLLC | Denver, CO | $33K |
| Pediatric Pulmonary and Sleep Specialists, PLLC | Loveland, CO | $8K |
| Pediatric Pulmonary and Sleep Specialists, PLLC | Colorado Springs, CO | $7K |
| Branches of Hickory Healthcare PLLC | Hickory, NC | $5K |
| Urban Family Doctor, PLLC | Brooklyn, NY | $436.32 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.