Pulmonary Critical Care and Sleep Associates, PA

Pulmonary Critical Care and Sleep Associates, PA was paid $34K by Medicaid between Feb 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoPULMONARY CRITICAL CARE AND SLEEP ASSOCIATES, PA
CONROE, TX 77304

33aNPI1821311978assigned 03/03/2010

33bProvider typePulmonary Disease Physician

28Total paid$34K

24GClaims1,800

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#29 of 92

Median peer was paid$8K

This provider vs. median4.0×

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	220	$635.89
2019	91	$451.96
2020	177	$5K
2021	469	$12K
2022	379	$9K
2023	333	$5K
2024incomplete	131	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	56%	905	844	$19K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	23%	644	200	$8K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	20%	85	28	$7K
99223	Prolong inpt eval add15 m	1.4%	13	12	$480.56
99490	Ccm add 20min	<1%	153	153	$101.64

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 officialDESAI, ASHESH (PRESIDENT)