Pulmonary Associates of Drexel Hill, PC

Pulmonary Associates of Drexel Hill, PC was paid $49K by Medicaid between May 2018 and May 2022, across 7 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 66% of everything it billed.

33Billing provider infoPULMONARY ASSOCIATES OF DREXEL HILL, PC
DREXEL HILL, PA 19026

33aNPI1124011283assigned 08/24/2005

33bProvider typePulmonary Disease Physician

28Total paid$49K

24GClaims896

24DCodes billed7

24AFirst – last monthMay 2018 – May 2022

Compared with peers

Next to other Pulmonary Disease Physician providers in Pennsylvania

Rank by total paid#18 of 137

Median peer was paid$7K

This provider vs. median6.9×

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	82	$4K
2020	193	$16K
2021	500	$25K
2022	121	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	66%	310	152	$33K
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	23%	279	272	$11K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.4%	241	153	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.7%	24	24	$861.00
94729		<1%	14	14	$383.55
94727		<1%	14	14	$332.65
94060		<1%	14	14	$202.71

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 officialKELLEY, KIMBERLY (OFFICE MANAGER)