Jersey Pulmonary Care, MD PA

Jersey Pulmonary Care, MD PA was paid $20K by Medicaid between Feb 2018 and Sep 2024, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.

33Billing provider infoJERSEY PULMONARY CARE, MD PA
TOMS RIVER, NJ 08755

33aNPI1083755383assigned 02/09/2007

33bProvider typePulmonary Disease Physician

28Total paid$20K

24GClaims3,185

24DCodes billed5

24AFirst – last monthFeb 2018 – Sep 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#62 of 112

Median peer was paid$24K

This provider vs. median0.8×

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	198	$2K
2019	71	$596.36
2020	650	$4K
2021	510	$4K
2022	816	$6K
2023	696	$3K
2024incomplete	244	$708.72

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	42%	1,103	393	$8K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	39%	1,501	437	$8K
99223	Prolong inpt eval add15 m	15%	268	240	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.6%	301	257	$704.64
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	12	12	$0.00

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 officialPARIKH, JAYESH (SOLE PROPRIETER)