NP / PA
Jackson Purchase Pulmonary Medicine PLLC
Jackson Purchase Pulmonary Medicine PLLC was paid $533K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 35% of everything it billed.
33Billing provider infoJACKSON PURCHASE PULMONARY MEDICINE PLLC
MAYFIELD, KY 42066
MAYFIELD, KY 42066
33aNPI1922262179assigned 07/16/2008
33bProvider typeNurse Practitioner
28Total paid$533K
24GClaims24,130
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#59 of 260
Median peer was paid$89K
This provider vs. median6.0×
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 | 4,602 | $100K | |
| 2019 | 4,321 | $91K | |
| 2020 | 3,478 | $73K | |
| 2021 | 4,081 | $90K | |
| 2022 | 3,436 | $87K | |
| 2023 | 2,353 | $55K | |
| 2024incomplete | 1,859 | $36K |
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 | 35% | 4,019 | 1,107 | $185K |
| 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 | 18% | 3,878 | 3,022 | $97K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 5,826 | 1,738 | $70K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.6% | 2,660 | 980 | $46K |
| 99223 | Prolong inpt eval add15 m | 6.6% | 918 | 671 | $35K |
| 94060 | 4.7% | 1,068 | 929 | $25K | |
| 94726 | 3.7% | 907 | 794 | $20K | |
| 94729 | 3.7% | 982 | 857 | $20K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 793 | 653 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 307 | 213 | $10K |
| 99406 | <1% | 1,376 | 1,108 | $5K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 554 | 228 | $4K |
6 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 47 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 15 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $93.24 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 302 | $56.47 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 115 | $18.73 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 349 | $14.88 |
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 officialDOS REMEDIOS, ROBERTO (OWNER)