Premier Pulmonology and Critical Care Medicine LLC

Premier Pulmonology and Critical Care Medicine LLC was paid $63K by Medicaid between Aug 2018 and Nov 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 32% of everything it billed.

33Billing provider infoPREMIER PULMONOLOGY AND CRITICAL CARE MEDICINE LLC
EDGEWATER, NJ 07020

33aNPI1083134167assigned 06/21/2017

33bProvider typePulmonary Disease Physician

28Total paid$63K

24GClaims4,614

24DCodes billed5

24AFirst – last monthAug 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#45 of 112

Median peer was paid$24K

This provider vs. median2.6×

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	99	$3K
2019	386	$9K
2020	809	$7K
2021	1,053	$24K
2022	1,255	$12K
2023	613	$5K
2024incomplete	399	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	32%	2,349	619	$20K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	30%	306	64	$19K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	29%	1,629	455	$18K
99223	Prolong inpt eval add15 m	7.0%	269	240	$4K
99222	Initial hospital care, per day, moderate complexity	1.7%	61	54	$1K

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 officialABDELHADI, SAMIR (OWNER)