Medicaid Provider Spending

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

PULMONARY MEDICAL ASSOCIATES, LLP

NPI: 1134238488 · NEWTON, NJ 07860 · 207RP1001X

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

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 7,770 6,942 $220K
99232 5,404 1,427 $117K
99214 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 253 235 $6K
99212 148 139 $4K
99454 254 244 $4K
94060 148 146 $3K
99309 413 360 $2K
99204 29 28 $2K
94729 121 119 $2K
94727 134 132 $1K
99238 72 65 $1K
99203 12 12 $933.12
99310 Prolong nursin fac eval 15m 38 31 $481.63
90471 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 Depression screen annual 13 13 $105.44
99308 15 12 $96.05
G0439 Ppps, subseq visit 41 40 $84.62
G2211 Complex e/m visit add on 31 28 $79.34
G0442 Annual alcohol screen 15 min 13 13 $59.14
G0506 Comp asses care plan ccm svc 34 26 $54.78
99490 Ccm add 20min 101 99 $0.00
G9899 Scrn mam perf rslts doc 538 518 $0.00
4013F 201 188 $0.00
G8427 Docrev cur meds by elig clin 9,338 8,254 $0.00
1100F 400 399 $0.00
3288F 1,684 1,651 $0.00
G8598 Asa/antiplat ther used 228 209 $0.00
4004F 67 66 $0.00
3725F 273 265 $0.00
G8417 Calc bmi abv up param f/u 300 282 $0.00
G8752 Sys bp less 140 651 614 $0.00
G8483 Flu imm no admin doc rea 140 132 $0.00
G8431 Pos clin depres scrn f/u doc 29 29 $0.00
G8510 Scr dep neg, no plan reqd 2,047 1,991 $0.00
G8420 Calc bmi norm parameters 180 175 $0.00
3017F 958 915 $0.00
1101F 1,455 1,411 $0.00
1036F 1,687 1,631 $0.00
G8754 Dias bp less 90 646 606 $0.00
G9664 Taking statin or rec'd order 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