Physician
Pulmonary Associates, INC.
Pulmonary Associates, INC. was paid $8.54M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 40% of everything it billed.
33Billing provider infoPULMONARY ASSOCIATES, INC.
LAS VEGAS, NV 89106
LAS VEGAS, NV 89106
33aNPI1952436115assigned 02/21/2007
33bProvider typeAllergy Physician
28Total paid$8.54M
24GClaims157,378
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy Physician providers in Nevada
Rank by total paid#1 of 8
Median peer was paid$94K
This provider vs. median90×
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 | 18,232 | $697K | |
| 2019 | 29,590 | $1.49M | |
| 2020 | 27,205 | $1.49M | |
| 2021 | 28,415 | $1.73M | |
| 2022 | 23,820 | $1.44M | |
| 2023 | 19,183 | $1.15M | |
| 2024incomplete | 10,933 | $561K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 40% | 53,353 | 19,433 | $3.41M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 29% | 63,658 | 19,759 | $2.51M |
| 99223 | Prolong inpt eval add15 m | 17% | 11,485 | 10,685 | $1.42M |
| 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 | 4.1% | 6,944 | 6,139 | $353K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 2,346 | 2,179 | $209K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 4,919 | 4,449 | $205K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.0% | 426 | 378 | $87K |
| 94010 | <1% | 3,900 | 3,305 | $72K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 260 | 195 | $47K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,166 | 912 | $46K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 936 | 778 | $44K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 662 | 535 | $37K |
20 more codes
| 94060 | <1% | 1,067 | $19K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 975 | $18K |
| 95117 | <1% | 2,119 | $17K | |
| 94729 | <1% | 1,034 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 89 | $8K |
| 94727 | <1% | 491 | $6K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 65 | $5K |
| 94618 | <1% | 222 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 70 | $3K |
| 31624 | <1% | 45 | $3K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 13 | $1K |
| 94726 | <1% | 78 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $947.93 |
| 36556 | <1% | 15 | $778.21 | |
| 99457 | <1% | 148 | $765.21 | |
| 95115 | <1% | 68 | $535.60 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 658 | $327.01 |
| 99458 | <1% | 49 | $326.41 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 48 | $268.23 |
| 99454 | <1% | 43 | $169.17 |
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 officialKOHL, SONYA (OPERATIONS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Colorado Geriatric Care, PC | Denver, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.