Physician
Critical Care Pulmonary & Sleep Medicine Assoc LLC
Critical Care Pulmonary & Sleep Medicine Assoc LLC was paid $57K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoCRITICAL CARE PULMONARY & SLEEP MEDICINE ASSOC LLC
FESTUS, MO 63028
FESTUS, MO 63028
33aNPI1922381615assigned 09/20/2011
33bProvider typePulmonary Disease Physician
28Total paid$57K
24GClaims1,354
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Missouri
Rank by total paid#12 of 35
Median peer was paid$20K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2018 | 236 | $8K | |
| 2019 | 55 | $2K | |
| 2020 | 90 | $4K | |
| 2021 | 236 | $7K | |
| 2022 | 114 | $6K | |
| 2023 | 418 | $18K | |
| 2024incomplete | 205 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 80% | 966 | 940 | $46K |
| 94729 | 4.5% | 115 | 106 | $3K | |
| 94726 | 4.2% | 115 | 106 | $2K | |
| 94060 | 4.1% | 112 | 106 | $2K | |
| 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 | 3.8% | 28 | 25 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 18 | 17 | $2K |
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 officialINGRAM, SARAH (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Butler County Schools | Morgantown, KY | $289K |
| Crystal City Pulmonary Critical Care & Sleep Medicine | Festus, MO | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.