Physician
Advanced Pulmonary & Sleep Assoicates, P.C.
Advanced Pulmonary & Sleep Assoicates, P.C. was paid $67K by Medicaid between Jan 2021 and Oct 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 58% of everything it billed.
33Billing provider infoADVANCED PULMONARY & SLEEP ASSOICATES, P.C.
WEST CHESTER, PA 19380
WEST CHESTER, PA 19380
33aNPI1891318291assigned 05/20/2020
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$67K
24GClaims1,262
24DCodes billed7
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Pennsylvania
Rank by total paid#5 of 58
Median peer was paid$5K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2021 | 260 | $6K | |
| 2022 | 463 | $27K | |
| 2023 | 438 | $27K | |
| 2024incomplete | 101 | $8K |
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 | 58% | 711 | 389 | $39K |
| 99223 | Prolong inpt eval add15 m | 26% | 183 | 178 | $18K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.7% | 127 | 86 | $4K |
| 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 | 6.0% | 127 | 122 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 13 | 12 | $933.56 |
| 94010 | <1% | 74 | 72 | $590.17 | |
| 94664 | <1% | 27 | 27 | $180.84 |
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 officialPATEL, GAURAV (OWNER)