Physician
Pulmonary and Critical Care Specialists of Princeton PC
Pulmonary and Critical Care Specialists of Princeton PC was paid $53K by Medicaid between Jan 2018 and Dec 2018, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.
33Billing provider infoPULMONARY AND CRITICAL CARE SPECIALISTS OF PRINCETON PC
BIRMINGHAM, AL 35211
BIRMINGHAM, AL 35211
33aNPI1922315241assigned 09/08/2010
33bProvider typePulmonary Disease Physician
28Total paid$53K
24GClaims3,876
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Pulmonary Disease Physician providers in Alabama
Rank by total paid#7 of 19
Median peer was paid$12K
This provider vs. median4.4×
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 | 3,876 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 41% | 2,019 | 822 | $22K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 36% | 1,320 | 480 | $19K |
| 99223 | Prolong inpt eval add15 m | 18% | 222 | 215 | $9K |
| 99310 | Prolong nursin fac eval 15m | 2.4% | 80 | 40 | $1K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.9% | 30 | 13 | $1K |
| 94010 | <1% | 78 | 70 | $329.89 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 28 | 26 | $0.00 |
| 4040F | 0% | 28 | 25 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 30 | 27 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | 12 | $0.00 |
| 3023F | 0% | 29 | 26 | $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 officialCRAIN, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Guilford Radiology LLC | Guilford, CT | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.