Physician
Montgomery County Pulmonary and Sleep Consultants PC
Montgomery County Pulmonary and Sleep Consultants PC was paid $127K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 33% of everything it billed.
33Billing provider infoMONTGOMERY COUNTY PULMONARY AND SLEEP CONSULTANTS PC
EAST NORRITON, PA 19403
EAST NORRITON, PA 19403
33aNPI1932156791assigned 05/27/2006
33bProvider typePulmonary Disease Physician
28Total paid$127K
24GClaims3,735
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#10 of 137
Median peer was paid$7K
This provider vs. median18×
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 | 249 | $7K | |
| 2020 | 208 | $4K | |
| 2021 | 992 | $26K | |
| 2022 | 812 | $31K | |
| 2023 | 1,028 | $38K | |
| 2024incomplete | 446 | $21K |
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 | 33% | 1,741 | 909 | $42K |
| 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 | 27% | 934 | 916 | $34K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 13% | 173 | 64 | $17K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.0% | 202 | 129 | $10K |
| 94004 | 5.5% | 231 | 148 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 248 | 241 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.8% | 154 | 153 | $6K |
| 99223 | Prolong inpt eval add15 m | 3.0% | 39 | 37 | $4K |
| 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 | <1% | 13 | 13 | $1K |
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 officialMILLER, DONNA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Kanawha County Schools | Charleston, WV | $179K |
| Putnam County Schools | Winfield, WV | $85K |
| Clay County Schools | Clay, WV | $57K |
| Strengthening Foundations Child & Family Counseling | Gastonia, NC | $52K |
| Kanawha County Schools | Charleston, WV | $40K |
| Boone County Schools | Madison, WV | $17K |
| Putnam County Schools | Winfield, WV | $13K |
| Clay County Schools | Clay, WV | $13K |
| Boone County Schools | Madison, WV | $4K |
| Donna L. Miller DO PC | Bethlehem, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.