Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PULMONARY & CRITICAL CARE CONSULTANTS, INC

NPI: 1861432379 · DAYTON, OH 45409 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 06/07/2006

$1.85M
Total Medicaid Paid
50,377
Total Claims
27,866
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOLBERT, SHAUNNA (OPERATIONS MANAGER)
NPI Enumeration Date06/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,679 $245K
2019 6,203 $233K
2020 7,547 $298K
2021 8,595 $321K
2022 7,940 $288K
2023 8,415 $257K
2024 4,998 $205K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 20,652 8,441 $1.07M
99233 Prolong inpt eval add15 m 12,862 6,645 $351K
99232 Subsequent hospital care, per day, moderate complexity 6,874 3,524 $133K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,048 4,785 $101K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,383 2,151 $84K
95810 Polysomnography; sleep staging with 4 or more additional parameters 811 774 $49K
99243 751 716 $23K
95811 347 327 $22K
36556 162 127 $5K
94060 113 95 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 46 40 $1K
99255 12 12 $1K
31500 12 12 $872.84
99231 Subsequent hospital care, per day, straightforward or low complexity 108 51 $759.08
99292 23 14 $611.13
36620 14 14 $295.05
76937 32 24 $242.31
94729 55 49 $239.17
94726 44 38 $164.91
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) 28 27 $3.18