Physician
Lung Disease and Sleep Disorders INC.
Lung Disease and Sleep Disorders INC. was paid $1.24M by Medicaid between Jan 2018 and Jul 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoLUNG DISEASE AND SLEEP DISORDERS INC.
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1902084072assigned 01/31/2008
33bProvider typePulmonary Disease Physician
28Total paid$1.24M
24GClaims28,237
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Pulmonary Disease Physician providers in West Virginia
Rank by total paid#3 of 17
Median peer was paid$210K
This provider vs. median5.9×
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 | 5,692 | $346K | |
| 2019 | 4,034 | $200K | |
| 2020 | 6,317 | $272K | |
| 2021 | 6,032 | $197K | |
| 2022 | 4,517 | $161K | |
| 2023 | 1,645 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 10,698 | 9,798 | $390K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 3,478 | 715 | $144K |
| 94726 | 10% | 3,612 | 3,433 | $126K | |
| 94729 | 9.8% | 3,419 | 3,252 | $121K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 9.6% | 414 | 364 | $119K |
| 94010 | 8.0% | 3,453 | 3,268 | $99K | |
| 95811 | 7.3% | 280 | 256 | $91K | |
| 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 | 5.0% | 636 | 607 | $62K |
| 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 | 2.9% | 792 | 718 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 964 | 911 | $21K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 281 | 259 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 100 | 90 | $6K |
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, VISHNU (OWNER)