Medicaid Provider Spending

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

HOLY NAME PULMONARY ASSOCIATES, PC

NPI: 1144484866 · TEANECK, NJ 07666 · Pulmonary Disease Physician · NPI assigned 07/11/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BENIQUEZ PACHECO, PATRICIA controls 11+ related entities in our dataset. Read more

$389K
Total Medicaid Paid
26,707
Total Claims
16,816
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBENIQUEZ PACHECO, PATRICIA (CREDENTIALING SUPERVISOR)
NPI Enumeration Date07/11/2008

Related Entities

Other providers sharing the same authorized official: BENIQUEZ PACHECO, PATRICIA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,091 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 13,633 5,534 $159K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,452 3,735 $113K
95810 Polysomnography; sleep staging with 4 or more additional parameters 814 792 $57K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 259 104 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 527 482 $11K
95806 139 135 $9K
94060 1,129 1,092 $7K
95811 52 52 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 110 102 $5K
99222 Initial hospital care, per day, moderate complexity 169 165 $3K
99215 Prolong outpt/office vis 42 38 $2K
71046 Radiologic examination, chest; 2 views 806 731 $1K
99233 Prolong inpt eval add15 m 94 50 $1K
99223 Prolong inpt eval add15 m 18 18 $733.10
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $509.20
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 31 26 $408.94
94727 106 104 $399.84
94729 105 103 $319.27
G8420 Bmi is documented within normal parameters and no follow-up plan is required 793 519 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,414 3,020 $0.00