Austin Pulmonary Consultants PA

Austin Pulmonary Consultants PA was paid $1K by Medicaid between Jan 2018 and May 2018, across 2 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 88% of everything it billed.

33Billing provider infoAUSTIN PULMONARY CONSULTANTS PA
AUSTIN, TX 78727

33aNPI1881741734assigned 01/04/2007

33bProvider typePulmonary Disease Physician

28Total paid$1K

24GClaims65

24DCodes billed2

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Pulmonary Disease Physician providers in Texas

Rank by total paid#76 of 92

Median peer was paid$8K

This provider vs. median0.2×

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	65	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	88%	47	27	$1K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	12%	18	12	$165.05

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 officialCAIN, HAROLD (PRESIDENT)