Physician
Pulmonary Health Physicians PC
Pulmonary Health Physicians PC was paid $228K by Medicaid between Jan 2018 and Jan 2023, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoPULMONARY HEALTH PHYSICIANS PC
SYRACUSE, NY 13210
SYRACUSE, NY 13210
33aNPI1063450484assigned 06/04/2006
33bProvider typePulmonary Disease Physician
28Total paid$228K
24GClaims4,130
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pulmonary Disease Physician providers in New York
Rank by total paid#41 of 413
Median peer was paid$8K
This provider vs. median29×
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 | 994 | $46K | |
| 2019 | 1,324 | $66K | |
| 2020 | 851 | $58K | |
| 2021 | 934 | $58K | |
| 2022 | 12 | $355.90 | |
| 2023 | 15 | $394.95 |
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 | 41% | 1,112 | 1,102 | $94K |
| 94060 | 27% | 1,589 | 1,580 | $61K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.1% | 210 | 206 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 326 | 325 | $18K |
| 95806 | 4.6% | 277 | 273 | $11K | |
| 99205 | Prolong outpt/office vis | 2.8% | 56 | 56 | $6K |
| 94010 | 2.5% | 286 | 284 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 27 | 27 | $3K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.2% | 14 | 14 | $3K |
| 95811 | <1% | 13 | 13 | $2K | |
| 71250 | <1% | 13 | 13 | $1K | |
| 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% | 13 | 13 | $1K |
5 more codes
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 officialGIFFORD, MELISSA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Mohawk Valley Retina, PLLC | New Hartford, NY | $926K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.