NP / PA
Pulmonary Allergy Critical Care & Sleep Associates PLC
Pulmonary Allergy Critical Care & Sleep Associates PLC was paid $10K by Medicaid between Dec 2022 and Jun 2023, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 45% of everything it billed.
33Billing provider infoPULMONARY ALLERGY CRITICAL CARE & SLEEP ASSOCIATES PLC
ROCHESTER HILLS, MI 48307
ROCHESTER HILLS, MI 48307
33aNPI1902364979assigned 03/07/2019
33bProvider typeMedical Physician Assistant
28Total paid$10K
24GClaims493
24DCodes billed7
24AFirst – last monthDec 2022 – Jun 2023
Compared with peers
Next to other Medical Physician Assistant providers in Michigan
Rank by total paid#12 of 19
Median peer was paid$12K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 49 | $891.48 | |
| 2023 | 444 | $9K |
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 | 45% | 66 | 34 | $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 | 43% | 60 | 60 | $4K |
| 94729 | 4.9% | 53 | 53 | $476.21 | |
| 94726 | 3.3% | 28 | 28 | $316.68 | |
| 94060 | 3.2% | 41 | 41 | $313.44 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 123 | 121 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 122 | 120 | $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 officialKASHLAN, MUHAMMAD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pulmonary Critical Care and Sleep PC | Rochester Hills, MI | $118K |
| Alpha Urgent Care PLLC | Rochester Hills, MI | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.