Physician
Pediatric Pulmonary Specialists
Pediatric Pulmonary Specialists was paid $2.29M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 97% of everything it billed.
33Billing provider infoPEDIATRIC PULMONARY SPECIALISTS
BRIGHTON, MA 02135
BRIGHTON, MA 02135
33aNPI1013139336assigned 05/03/2007
33bProvider typePediatric Pulmonology Physician
28Total paid$2.29M
24GClaims29,522
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Pulmonology Physician providers in Massachusetts
Rank by total paid#1 of 21
Median peer was paid$6K
This provider vs. median414×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration97% of spending on code 99233 with only 2 total codes billed. Highly concentrated billing profile.
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 | 3,063 | $229K | |
| 2019 | 3,196 | $237K | |
| 2020 | 4,486 | $370K | |
| 2021 | 4,917 | $384K | |
| 2022 | 4,806 | $352K | |
| 2023 | 4,440 | $346K | |
| 2024incomplete | 4,614 | $368K |
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 | 97% | 28,192 | 5,167 | $2.21M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 1,330 | 405 | $73K |
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 officialKHARASCH, VIRGINIA (PRESIDENT)