Medicaid Provider Spending

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

OCEAN PULMONARY ASSOCIATES, P.A.

NPI: 1174645154 · TOMS RIVER, NJ 08755 · Pulmonary Disease Physician · NPI assigned 04/03/2007

$1.10M
Total Medicaid Paid
34,212
Total Claims
23,956
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKERR, BRIAN (PRESIDENT)
NPI Enumeration Date04/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,627 $130K
2019 3,812 $153K
2020 5,030 $170K
2021 5,415 $174K
2022 5,758 $166K
2023 6,436 $184K
2024 4,134 $125K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,316 4,572 $324K
99233 Prolong inpt eval add15 m 6,492 2,936 $289K
94010 8,295 7,754 $206K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,944 1,710 $85K
99232 Subsequent hospital care, per day, moderate complexity 2,859 1,365 $80K
94375 1,957 1,645 $44K
99243 208 207 $26K
99223 Prolong inpt eval add15 m 207 182 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 103 82 $9K
99406 683 603 $6K
99244 Office or other outpatient consultation, moderate to high complexity 27 27 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 27 12 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 62 53 $4K
93042 5,103 1,929 $665.95
95800 14 12 $392.23
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 389 353 $39.21
99306 Prolong nursin fac eval 15m 14 13 $37.84
99072 464 462 $0.00
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) 48 39 $0.00