Physician
Holy Name Pulmonary Associates, PC
Holy Name Pulmonary Associates, PC was paid $389K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.
33Billing provider infoHOLY NAME PULMONARY ASSOCIATES, PC
TEANECK, NJ 07666
TEANECK, NJ 07666
33aNPI1144484866assigned 07/11/2008
33bProvider typePulmonary Disease Physician
28Total paid$389K
24GClaims26,707
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New Jersey
Rank by total paid#13 of 112
Median peer was paid$24K
This provider vs. median16×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BENIQUEZ PACHECO, PATRICIA controls 11+ related entities in our dataset. Read more
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 | 3,474 | $55K | |
| 2019 | 3,686 | $44K | |
| 2020 | 3,249 | $51K | |
| 2021 | 3,730 | $62K | |
| 2022 | 4,594 | $69K | |
| 2023 | 4,883 | $73K | |
| 2024incomplete | 3,091 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 41% | 13,633 | 5,534 | $159K |
| 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% | 4,452 | 3,735 | $113K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 15% | 814 | 792 | $57K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.7% | 259 | 104 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 527 | 482 | $11K |
| 95806 | 2.4% | 139 | 135 | $9K | |
| 94060 | 1.8% | 1,129 | 1,092 | $7K | |
| 95811 | 1.2% | 52 | 52 | $5K | |
| 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 | 1.2% | 110 | 102 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 169 | 165 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 42 | 38 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 806 | 731 | $1K |
8 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 94 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 18 | $733.10 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $509.20 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $408.94 |
| 94727 | <1% | 106 | $399.84 | |
| 94729 | <1% | 105 | $319.27 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 793 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,414 | $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 officialBENIQUEZ PACHECO, PATRICIA (CREDENTIALING SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Excelcare Medical Associates, PA | Teaneck, NJ | $9.97M |
| Peace Health Partners, PC | Teaneck, NJ | $1.24M |
| Breast Imaging Partners, PC | Teaneck, NJ | $661K |
| Holy Name Primary Care and Specialty Associates, PC | Teaneck, NJ | $512K |
| House Physician Partners, PC | Teaneck, NJ | $274K |
| MS Comprehensive Care Center | Teaneck, NJ | $190K |
| Holy Name Cardiology Associates, PC | Teaneck, NJ | $120K |
| Holy Name Health Physicians | Teaneck, NJ | $112K |
| Radiation Oncology Partners PC | Teaneck, NJ | $35K |
| Holy Name Hospital Ekg Interpretation Group | Teaneck, NJ | $26K |
| Holy Name Anesthesia Partners | Teaneck, NJ | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.