Physician
Pulmonary & Critical Care Associates of the Tri-Cities PC
Pulmonary & Critical Care Associates of the Tri-Cities PC was paid $1.93M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 29% of everything it billed.
33Billing provider infoPULMONARY & CRITICAL CARE ASSOCIATES OF THE TRI-CITIES PC
HOPEWELL, VA 23860
HOPEWELL, VA 23860
33aNPI1821057639assigned 03/21/2006
33bProvider typePulmonary Disease Physician
28Total paid$1.93M
24GClaims77,070
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Virginia
Rank by total paid#1 of 34
Median peer was paid$31K
This provider vs. median63×
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 | 12,382 | $96K | |
| 2019 | 14,755 | $242K | |
| 2020 | 8,251 | $298K | |
| 2021 | 8,899 | $297K | |
| 2022 | 11,697 | $330K | |
| 2023 | 11,462 | $363K | |
| 2024incomplete | 9,624 | $305K |
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 | 29% | 13,467 | 5,612 | $561K |
| 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 | 23% | 8,568 | 7,370 | $437K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 22% | 4,505 | 1,582 | $423K |
| 94729 | 5.6% | 3,581 | 3,168 | $108K | |
| 94727 | 4.2% | 3,430 | 3,049 | $80K | |
| 94060 | 3.5% | 2,661 | 2,367 | $67K | |
| 99223 | Prolong inpt eval add15 m | 3.3% | 757 | 683 | $64K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 727 | 599 | $42K |
| 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 | 2.0% | 430 | 391 | $39K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 1,801 | 777 | $39K |
| 94664 | 1.8% | 7,556 | 6,547 | $35K | |
| 94010 | <1% | 3,663 | 3,260 | $14K |
20 more codes
| 99407 | <1% | 1,294 | $10K | |
| 95811 | <1% | 14 | $5K | |
| 94760 | <1% | 11,763 | $4K | |
| 99406 | <1% | 486 | $2K | |
| 94761 | <1% | 727 | $324.52 | |
| 94375 | <1% | 801 | $191.05 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,147 | $0.00 |
| 1036F | 0% | 1,716 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 388 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 295 | $0.00 |
| G8924 | Spirometry results documented (fev1/fvc < 70%) | 0% | 654 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 295 | $0.00 |
| G9432 | Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented | 0% | 39 | $0.00 |
| 4040F | 0% | 882 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 185 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,891 | $0.00 |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 830 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,582 | $0.00 |
| 3023F | 0% | 724 | $0.00 | |
| 4004F | 0% | 211 | $0.00 |
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 officialFAROOQ, MOHAMMAD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Bloom Geriatrics LLC | Chester, VA | $2.83M |
| Tri-Cities Geriatrics, PC | Chester, VA | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.