Physician
Pmsi Division of Pulmonary
Pmsi Division of Pulmonary was paid $31K by Medicaid between Nov 2020 and Feb 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoPMSI DIVISION OF PULMONARY
POTTSTOWN, PA 19464
POTTSTOWN, PA 19464
33aNPI1114042595assigned 03/21/2007
33bProvider typePulmonary Disease Physician
28Total paid$31K
24GClaims1,884
24DCodes billed7
24AFirst – last monthNov 2020 – Feb 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#28 of 137
Median peer was paid$7K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2020 | 65 | $869.50 | |
| 2021 | 778 | $11K | |
| 2022 | 509 | $8K | |
| 2023 | 461 | $9K | |
| 2024incomplete | 71 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 856 | 821 | $15K |
| 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 | 32% | 333 | 290 | $10K |
| 94010 | 9.7% | 357 | 317 | $3K | |
| 94729 | 3.9% | 49 | 49 | $1K | |
| 94727 | 3.2% | 48 | 48 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.8% | 62 | 54 | $556.81 |
| 99072 | 0% | 179 | 155 | $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 officialENOCHS, SHANA (CREDENTIALING SPECIALIST)
Parent organizationPOTTSTOWN MEDICAL SPECIALISTS
| Provider | Location | Paid |
|---|---|---|
| Pmsi Collegeville Family Practice | Collegeville, PA | $68K |
| Pmsi Division of Cardiology | Pottstown, PA | $9K |
| Brookside Family Practice & Pediatrics | Pottstown, PA | $8K |
| Pottstown Medical Specialists INC | Royersford, PA | $5K |
| Pottstown Medical Specialists INC | Boyertown, PA | $54.42 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.