Physician
Pulmonary, Critical Care and Sleep Medicine Associates, LLC
Pulmonary, Critical Care and Sleep Medicine Associates, LLC was paid $559K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoPULMONARY, CRITICAL CARE AND SLEEP MEDICINE ASSOCIATES, LLC
HAMILTON, OH 45013
HAMILTON, OH 45013
33aNPI1952407371assigned 09/15/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$559K
24GClaims17,349
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#10 of 31
Median peer was paid$60K
This provider vs. median9.3×
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 | 3,818 | $96K | |
| 2019 | 3,405 | $102K | |
| 2020 | 2,293 | $78K | |
| 2021 | 2,908 | $106K | |
| 2022 | 2,368 | $81K | |
| 2023 | 1,228 | $43K | |
| 2024incomplete | 1,329 | $53K |
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 | 22% | 2,857 | 2,630 | $124K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 4,533 | 2,413 | $90K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 16% | 1,478 | 680 | $87K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 2,008 | 1,137 | $63K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 10% | 2,288 | 1,256 | $57K |
| 99223 | Prolong inpt eval add15 m | 8.3% | 755 | 721 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 1,368 | 1,187 | $36K |
| 94375 | 2.5% | 812 | 778 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 216 | 202 | $14K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.9% | 192 | 180 | $11K |
| 94060 | 1.4% | 350 | 317 | $8K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 104 | 50 | $3K |
12 more codes
| 99255 | <1% | 13 | $1K | |
| 99406 | <1% | 206 | $1K | |
| 95811 | <1% | 15 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $816.93 |
| 90674 | <1% | 19 | $347.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $279.63 |
| 90686 | <1% | 13 | $223.80 | |
| 95117 | <1% | 21 | $156.55 | |
| 95012 | <1% | 12 | $110.11 | |
| 94729 | <1% | 25 | $104.65 | |
| 94726 | <1% | 12 | $35.50 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 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 officialJOHNSON, TERRI (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Chrysalis INC | Coeur D Alene, ID | $627K |
| Transformation 4 Life Mental Health Group | Baltimore, MD | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.