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

North Jersey Pulmonary Associates

North Jersey Pulmonary Associates was paid $790K by Medicaid between Feb 2019 and Nov 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoNORTH JERSEY PULMONARY ASSOCIATES
RIDGEWOOD, NJ 07450
33aNPI1124598438assigned 11/29/2018
28Total paid$790K
24GClaims37,418
24DCodes billed39
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#79 of 1,027
Median peer was paid$30K
This provider vs. median27×

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$10K$20K$30K2018201920202021202220232024
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
20194,259$99K
20206,192$150K
20216,279$135K
20227,686$168K
20237,130$156K
2024incomplete5,872$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 29% 3,461 3,208 $228K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 5,766 1,674 $122K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.5% 2,302 979 $59K
94060 6.9% 1,708 1,616 $55K
94729 5.6% 1,124 1,096 $44K
94726 5.1% 1,070 1,039 $40K
99244 Office or other outpatient consultation, moderate to high complexity 4.5% 236 236 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.3% 712 693 $34K
99223 Prolong inpt eval add15 m 4.1% 384 372 $32K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.6% 223 219 $28K
95800 2.2% 138 134 $17K
99454 2.0% 527 517 $16K
27 more codes
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.9% 204 $15K
99457 1.9% 606 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.9% 482 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.0% 476 $8K
95806 <1% 82 $8K
88738 <1% 1,528 $5K
99458 <1% 111 $4K
94727 <1% 90 $2K
99255 <1% 13 $2K
99254 <1% 12 $1K
94664 <1% 84 $971.38
99308 Subsequent nursing facility care, per day, straightforward <1% 56 $931.78
99310 Prolong nursin fac eval 15m <1% 32 $892.27
95012 <1% 44 $524.21
99453 <1% 25 $344.63
99406 <1% 36 $264.94
3008F <1% 3,535 $219.00
3075F <1% 731 $69.26
3079F <1% 731 $69.26
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 1,055 $66.25
99072 <1% 705 $14.00
G8842 Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea 0% 244 $0.00
2000F 0% 3,225 $0.00
2001F 0% 2,806 $0.00
2010F 0% 2,794 $0.00
G9432 Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented 0% 30 $0.00
G9521 Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months 0% 30 $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 officialMAHMOOD, NADER (PHYSICIAN)