Physician
Pulmonary Medical Associates, LLP
Pulmonary Medical Associates, LLP was paid $445K by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoPULMONARY MEDICAL ASSOCIATES, LLP
NEWTON, NJ 07860
NEWTON, NJ 07860
33aNPI1134238488assigned 08/30/2006
33bProvider typePulmonary Disease Physician
28Total paid$445K
24GClaims39,926
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New Jersey
Rank by total paid#11 of 112
Median peer was paid$24K
This provider vs. median18×
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 | 3,981 | $50K | |
| 2019 | 3,688 | $49K | |
| 2020 | 4,688 | $77K | |
| 2021 | 6,884 | $81K | |
| 2022 | 8,069 | $83K | |
| 2023 | 7,490 | $67K | |
| 2024incomplete | 5,126 | $37K |
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 | 50% | 7,770 | 6,942 | $220K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 26% | 5,404 | 1,427 | $117K |
| 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 | 9.9% | 1,253 | 1,142 | $44K |
| 99223 | Prolong inpt eval add15 m | 4.1% | 681 | 640 | $18K |
| 99457 | 1.9% | 682 | 648 | $8K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 405 | 165 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 253 | 235 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 148 | 139 | $4K |
| 99454 | <1% | 254 | 244 | $4K | |
| 94060 | <1% | 148 | 146 | $3K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 413 | 360 | $2K |
| 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 | <1% | 29 | 28 | $2K |
42 more codes
| 94729 | <1% | 121 | $2K | |
| 94727 | <1% | 134 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 72 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $933.12 |
| 99310 | Prolong nursin fac eval 15m | <1% | 38 | $481.63 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 41 | $424.14 |
| 90756 | <1% | 25 | $414.56 | |
| 99406 | <1% | 47 | $336.55 | |
| 90688 | <1% | 14 | $224.59 | |
| 99458 | <1% | 15 | $204.48 | |
| 99497 | <1% | 66 | $135.47 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 13 | $105.44 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 15 | $96.05 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 41 | $84.62 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 31 | $79.34 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 13 | $59.14 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 34 | $54.78 |
| 99490 | Ccm add 20min | 0% | 101 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 538 | $0.00 |
| 4013F | 0% | 201 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 9,338 | $0.00 |
| 1100F | 0% | 400 | $0.00 | |
| 3288F | 0% | 1,684 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 228 | $0.00 |
| 4004F | 0% | 67 | $0.00 | |
| 3725F | 0% | 273 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 300 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 651 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 140 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 29 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,047 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 180 | $0.00 |
| 3017F | 0% | 958 | $0.00 | |
| 1101F | 0% | 1,455 | $0.00 | |
| 1036F | 0% | 1,687 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 646 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 240 | $0.00 |
| 3074F | 0% | 173 | $0.00 | |
| 1125F | 0% | 90 | $0.00 | |
| 1126F | 0% | 276 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| 3079F | 0% | 37 | $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 officialNADARAJAH, DAYA (PRESIDENT)