Physician
Arizona Lung Clinic PLLC
Arizona Lung Clinic PLLC was paid $1.17M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 42% of everything it billed.
33Billing provider infoARIZONA LUNG CLINIC PLLC
SURPRISE, AZ 85374
SURPRISE, AZ 85374
33aNPI1932594579assigned 03/31/2015
33bProvider typePulmonary Disease Physician
28Total paid$1.17M
24GClaims18,347
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Arizona
Rank by total paid#6 of 37
Median peer was paid$132K
This provider vs. median8.9×
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 | 2,542 | $124K | |
| 2019 | 1,463 | $70K | |
| 2020 | 2,805 | $169K | |
| 2021 | 2,984 | $245K | |
| 2022 | 3,108 | $211K | |
| 2023 | 2,954 | $187K | |
| 2024incomplete | 2,491 | $164K |
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 | 42% | 3,771 | 1,554 | $487K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 24% | 5,060 | 2,140 | $278K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 3,813 | 1,756 | $133K |
| 99223 | Prolong inpt eval add15 m | 9.5% | 1,142 | 1,045 | $111K |
| 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 | 7.3% | 1,909 | 1,665 | $85K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.7% | 517 | 101 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.5% | 531 | 170 | $18K |
| 99454 | 1.1% | 520 | 508 | $12K | |
| 99457 | 1.0% | 551 | 538 | $12K | |
| 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% | 100 | 82 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 120 | 109 | $4K |
| 94060 | <1% | 51 | 37 | $1K |
8 more codes
| 94729 | <1% | 52 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $1K |
| 94727 | <1% | 35 | $704.35 | |
| 94726 | <1% | 17 | $262.70 | |
| 99453 | <1% | 14 | $72.60 | |
| 88738 | <1% | 13 | $40.10 | |
| Q3014 | Telehealth originating site facility fee | <1% | 80 | $5.33 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 35 | $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 officialBHUGRA, PARAMVEER (OWNER)