Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Shore Pulmonary, PA

Shore Pulmonary, PA was paid $218K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 56% of everything it billed.

33Billing provider infoSHORE PULMONARY, PA
MANASQUAN, NJ 08736
33aNPI1053382499assigned 02/01/2006
28Total paid$218K
24GClaims13,784
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#26 of 112
Median peer was paid$24K
This provider vs. median9.0×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018745$25K
2019575$13K
20203,260$50K
20213,309$50K
20223,028$54K
20232,122$23K
2024incomplete745$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 56% 8,898 4,508 $122K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 19% 536 154 $40K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 8.4% 701 318 $18K
99222 Initial hospital care, per day, moderate complexity 7.1% 748 728 $16K
99308 Subsequent nursing facility care, per day, straightforward 4.9% 2,316 1,816 $11K
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 1.2% 40 40 $3K
95800 1.1% 67 64 $2K
94010 <1% 58 58 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 26 26 $1K
99223 Prolong inpt eval add15 m <1% 29 27 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 353 123 $1K
95782 <1% 12 12 $781.21

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 officialLEECH, JANET (PRACTICE MANAGER)