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

Pulmonary and Sleep Associates of South Jersey, LLC

Pulmonary and Sleep Associates of South Jersey, LLC was paid $513K by Medicaid between Jan 2018 and Oct 2020, across 11 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 48% of everything it billed.

33Billing provider infoPULMONARY AND SLEEP ASSOCIATES OF SOUTH JERSEY, LLC
CHERRY HILL, NJ 08034
33aNPI1093734022assigned 07/19/2006
28Total paid$513K
24GClaims13,110
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in New Jersey

Rank by total paid#4 of 36
Median peer was paid$27K
This provider vs. median19×

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$20K$40K$60K2018201920202021202220232024
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
20183,446$120K
20193,147$122K
20206,517$270K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 48% 2,901 1,290 $247K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 32% 7,687 4,569 $164K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.4% 1,301 689 $38K
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 4.5% 550 539 $23K
95806 4.4% 253 253 $22K
99254 2.7% 150 150 $14K
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% 71 70 $2K
94010 <1% 82 82 $2K
94729 <1% 91 91 $1K
99223 Prolong inpt eval add15 m <1% 12 12 $171.90
94727 <1% 12 12 $50.12

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 officialMAZZETTI, DEBRA (CEO)