Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PULMONARY MEDICAL ASSOCIATES, LLP

NPI: 1134238488 · NEWTON, NJ 07860 · Pulmonary Disease Physician · NPI assigned 08/30/2006

$445K
Total Medicaid Paid
39,926
Total Claims
33,023
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNADARAJAH, DAYA (PRESIDENT)
NPI Enumeration Date08/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,126 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,770 6,942 $220K
99232 Subsequent hospital care, per day, moderate complexity 5,404 1,427 $117K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,253 1,142 $44K
99223 Prolong inpt eval add15 m 681 640 $18K
99457 682 648 $8K
99233 Prolong inpt eval add15 m 405 165 $8K
99222 Initial hospital care, per day, moderate complexity 253 235 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 148 139 $4K
99454 254 244 $4K
94060 148 146 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 413 360 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 28 $2K
94729 121 119 $2K
94727 134 132 $1K
99238 Hospital discharge day management, 30 minutes or less 72 65 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $933.12
99310 Prolong nursin fac eval 15m 38 31 $481.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 41 41 $424.14
90756 25 25 $414.56
99406 47 46 $336.55
90688 14 14 $224.59
99458 15 12 $204.48
99497 66 63 $135.47
G0444 Annual depression screening, 5 to 15 minutes 13 13 $105.44
99308 Subsequent nursing facility care, per day, straightforward 15 12 $96.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 41 40 $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) 31 28 $79.34
G0442 Annual alcohol misuse screening, 5 to 15 minutes 13 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) 34 26 $54.78
99490 Ccm add 20min 101 99 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 538 518 $0.00
4013F 201 188 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 9,338 8,254 $0.00
1100F 400 399 $0.00
3288F 1,684 1,651 $0.00
G8598 Aspirin or another antiplatelet therapy used 228 209 $0.00
4004F 67 66 $0.00
3725F 273 265 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 300 282 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 651 614 $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) 140 132 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 29 29 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,047 1,991 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 180 175 $0.00
3017F 958 915 $0.00
1101F 1,455 1,411 $0.00
1036F 1,687 1,631 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 646 606 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 240 220 $0.00
3074F 173 163 $0.00
1125F 90 88 $0.00
1126F 276 260 $0.00
3044F 15 13 $0.00
3079F 37 36 $0.00