Pulmonary Institute of Arizona PC

Pulmonary Institute of Arizona PC was paid $1.19M by Medicaid between Jan 2018 and Jan 2021, across 23 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 28% of everything it billed.

33Billing provider infoPULMONARY INSTITUTE OF ARIZONA PC
TUCSON, AZ 85712

33aNPI1881050953assigned 01/05/2016

33bProvider typeSleep Medicine (Internal Medicine) Physician

28Total paid$1.19M

24GClaims22,929

24DCodes billed23

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Sleep Medicine (Internal Medicine) Physician providers in Arizona

Rank by total paid#3 of 15

Median peer was paid$71K

This provider vs. median17×

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	7,514	$320K
2019	7,925	$399K
2020	6,967	$431K
2021	523	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	28%	9,604	4,013	$331K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	23%	5,034	2,518	$279K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	20%	1,910	750	$235K
99223	Prolong inpt eval add15 m	16%	1,757	1,624	$193K
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	6.7%	1,852	1,678	$80K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.1%	830	754	$25K
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%	155	132	$10K
94729		<1%	342	296	$9K
94060		<1%	291	252	$8K
94727		<1%	340	294	$7K
95811		<1%	28	24	$3K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	15	14	$2K

11 more codes

94375		<1%	59	$1K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	166	$1K
99442		<1%	57	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	27	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	82	$800.53
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	27	$544.48
99441		<1%	43	$296.28
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	35	$249.37
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	<1%	246	$17.79
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	15	$0.00
G8925	Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms	0%	14	$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 officialREYES, NATHANIEL (PRESIDENT)