Richland Pulmonary and Critical Care Associates INC

Richland Pulmonary and Critical Care Associates INC was paid $131K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.

33Billing provider infoRICHLAND PULMONARY AND CRITICAL CARE ASSOCIATES INC
MANSFIELD, OH 44903

33aNPI1962494302assigned 08/22/2005

33bProvider typePulmonary Disease Physician

28Total paid$131K

24GClaims3,797

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Ohio

Rank by total paid#14 of 42

Median peer was paid$34K

This provider vs. median3.8×

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	1,059	$26K
2019	690	$24K
2020	458	$20K
2021	432	$14K
2022	438	$17K
2023	404	$17K
2024incomplete	316	$13K

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	91%	3,177	2,990	$119K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.7%	275	242	$9K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	47	28	$674.65
94060		<1%	88	85	$670.37
90682		<1%	18	18	$616.44
94727		<1%	82	80	$226.19
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	12	$222.55
94729		<1%	70	69	$162.43
99442		<1%	13	12	$65.73
G0008	Administration of influenza virus vaccine	0%	15	15	$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 officialVAIDVA, SUNIL (VICE PRESIDENT)