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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Pulmonary Disease

Pulmonary Disease

Medicare spending analysis for Pulmonary Disease providers

🔎 Data Analysis

Pulmonary Disease accounts for $12.0B in Medicare payments across 99.1K providers.

The specialty's average markup of 3.0x is below the overall Medicare average of 3.77x.

AI-generated analysis based on Medicare payment data.

⚠️

4 AI-Flagged Pulmonary Disease Providers

Providers in this specialty flagged by the ML v2 fraud detection model

Maximo FernanOK
93.6%
Prakash PalimarTX
87.4%
Ravi MalpaniOK
88.5%
View all ML-flagged providers →
Total Payments (10yr)
$12.0B
Top Providers
50
States with Providers
55

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$1.3B20.1M9.2K—
2015$1.3B20.1M9.4K+0.6%
2016$1.3B19.7M9.6K-2.5%
2017$1.3B19.4M9.8K-1.4%
2018$1.3B18.9M10.0K-1.9%
2019$1.3B18.6M10.1K-0.9%
2020$1.1B15.4M10.1K-11.9%
2021$1.1B15.2M10.2K+1.0%
2022$1.0B14.3M10.3K-9.6%
2023$991.2M14.1M10.4K-2.1%

Top Pulmonary Disease Providers

#ProviderStatePaymentsServicesAvg/Service
1Carmen SalvaterraMD$8.9M57.5K$155.64
2Raja DevanathanIN$3.0M106.7K$28.55
3Jonathan WiesenVA$2.4M89.1K$26.64
4Jason KarpNY$2.1M82.1K$25.61
5Bradley ChippsCA$1.6M62.0K$26.24
6Sanober KableTX$1.4M41.0K$35.12
7Michael NewanFL$1.4M41.0K$33.78
8Don WynnTX$1.4M40.5K$33.80
9Abraham IshaayaCA$1.3M39.9K$33.54
10An PhamPA$1.3M36.7K$35.88
11Viney SoniCA$1.3M13.2K$99.88
12Allen SilveyNJ$1.2M18.5K$65.80
13Olusegun OseniTX$1.1M16.5K$67.16
14Gail SchattnerNY$1.1M40.9K$26.49
15Glenn GiesselVA$1.1M28.6K$36.86
16Jamie HeyVA$1.0M29.1K$34.86
17Aleksander ShalshinNY$1.0M12.0K$83.13
18Ashesh DesaiTX$999.8K17.4K$57.55
19Evan RestelliNC$998.0K41.8K$23.90
20George ShahinianCA$976.4K9.5K$103.27
21Shahryar YadegarCA$962.0K15.2K$63.29
22Robert DermarkarianFL$954.3K19.8K$48.30
23Theodossis ZacharisFL$945.2K27.0K$34.98
24Ritsu KunoVA$933.4K27.5K$33.93
25Shyamsunder SubramanianCA$932.8K46.1K$20.25

Top Procedures

CodeDescriptionPaymentsServicesAvg/Service
99214Established patient office or other outpatient visit, 30-39 minutes$182.7M2.0M$91.84
99291Critical care, first 30-74 minutes$174.4M1.0M$169.88
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$128.3M1.4M$94.90
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$78.4M1.2M$63.47
99215Established patient office or other outpatient visit, 40-54 minutes$46.5M358.4K$129.81
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$44.9M327.4K$137.05
99213Established patient office or other outpatient visit, 20-29 minutes$44.3M701.7K$63.09
99204New patient office or other outpatient visit, 45-59 minutes$36.7M310.0K$118.30
94729Test to examine how well the lungs exchange gases$20.2M748.3K$26.94
99205New patient office or other outpatient visit, 60-74 minutes$16.5M103.3K$160.13
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)$16.1M76.8K$210.01
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$14.5M140.3K$103.44
95810Sleep study in sleep lab (6 years or older)$13.9M67.4K$205.97
94726Test to determine lung volumes using sensors$12.4M479.3K$25.89
94060Test to measure expiratory airflow and volume changes before and after medication administration$11.2M545.1K$20.54
J2357Injection, omalizumab, 5 mg$10.9M361.4K$30.11
J2182Injection, mepolizumab, 1 mg$9.0M397.4K$22.71
J0517Injection, benralizumab, 1 mg$7.3M57.0K$128.03
94010Test to measure expiratory airflow and volume$6.9M457.7K$15.06
J0225Injection, vutrisiran, 1 mg$5.9M1.9K$3.1K

Geographic Distribution

CA
$120.8M
884 providers
FL
$108.5M
711 providers
NY
$85.6M
802 providers
TX
$73.8M
640 providers
NJ
$51.7M
348 providers
IL
$42.2M
416 providers
PA
$39.6M
547 providers
VA
$38.7M
258 providers
MD
$27.8M
200 providers
OH
$26.3M
441 providers
MI
$26.0M
364 providers
GA
$24.2M
281 providers
NC
$24.0M
311 providers
AZ
$23.8M
189 providers
MA
$22.3M
387 providers
IN
$19.8M
234 providers
TN
$17.7M
238 providers
KY
$17.6M
168 providers
MO
$17.4M
224 providers
AL
$14.5M
165 providers
CT
$14.2M
205 providers
SC
$13.7M
155 providers
WA
$10.7M
211 providers
MS
$10.5M
73 providers
AR
$9.7M
75 providers
LA
$9.6M
152 providers
KS
$9.3M
77 providers
OK
$8.8M
94 providers
CO
$8.5M
161 providers
NV
$8.4M
64 providers

Related

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.