Physician
LA Jolla Pulmonary and Critical Care INC.
LA Jolla Pulmonary and Critical Care INC. was paid $16K by Medicaid between Mar 2018 and Apr 2018, across 1 billing code. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 100% of everything it billed.
33Billing provider infoLA JOLLA PULMONARY AND CRITICAL CARE INC.
LA JOLLA, CA 92037
LA JOLLA, CA 92037
33aNPI1912076365assigned 11/07/2006
33bProvider typePulmonary Disease Physician
28Total paid$16K
24GClaims107
24DCodes billed1
24AFirst – last monthMar 2018 – Apr 2018
Compared with peers
Next to other Pulmonary Disease Physician providers in California
Rank by total paid#145 of 225
Median peer was paid$53K
This provider vs. median0.3×
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 | 107 | $16K |
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 | 100% | 107 | 38 | $16K |
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 officialMCCAUL, D. (CORPORATE OFFICER)