Physician
Pulmonary and Internal Medicine Associates PA
Pulmonary and Internal Medicine Associates PA was paid $116K by Medicaid between Feb 2018 and Jul 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoPULMONARY AND INTERNAL MEDICINE ASSOCIATES PA
TRENTON, NJ 08638
TRENTON, NJ 08638
33aNPI1205923620assigned 10/06/2006
33bProvider typePulmonary Disease Physician
28Total paid$116K
24GClaims4,016
24DCodes billed12
24AFirst – last monthFeb 2018 – Jul 2023
Compared with peers
Next to other Pulmonary Disease Physician providers in New Jersey
Rank by total paid#34 of 112
Median peer was paid$24K
This provider vs. median4.8×
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.
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 | 296 | $7K | |
| 2019 | 523 | $12K | |
| 2020 | 1,147 | $45K | |
| 2021 | 994 | $26K | |
| 2022 | 693 | $21K | |
| 2023 | 363 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 68% | 2,716 | 2,391 | $79K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 695 | 629 | $18K |
| 93924 | 12% | 305 | 287 | $14K | |
| 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 | 2.0% | 41 | 40 | $2K |
| 93000 | 1.1% | 91 | 87 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 26 | 26 | $1K |
| 90672 | <1% | 14 | 14 | $284.40 | |
| 93922 | <1% | 13 | 13 | $201.22 | |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | 14 | $138.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 38 | 38 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 50 | 40 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | 13 | $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 officialALBIZEM, HAYTHAM (PRESIDENT/OWNER/CEO)
| Provider | Location | Paid |
|---|---|---|
| Heart Care Consultants, LLC | Philadelphia, PA | $868K |
| Primary Health LLC | Philadelphia, PA | $533K |
| Primary Health NJ | Hamilton, NJ | $55K |
| Hamilton Heart & Vascular Care LLC | Hamilton, NJ | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.