Physician
Pulmonary and Sleep Office of New England, PC
Pulmonary and Sleep Office of New England, PC was paid $1.88M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 28% of everything it billed.
33Billing provider infoPULMONARY AND SLEEP OFFICE OF NEW ENGLAND, PC
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1225159932assigned 04/02/2007
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$1.88M
24GClaims40,948
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Rhode Island
Rank by total paid#1 of 13
Median peer was paid$36K
This provider vs. median53×
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 | 4,061 | $174K | |
| 2019 | 4,133 | $156K | |
| 2020 | 5,251 | $255K | |
| 2021 | 6,152 | $312K | |
| 2022 | 6,694 | $338K | |
| 2023 | 8,161 | $375K | |
| 2024incomplete | 6,496 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 28% | 8,753 | 7,076 | $533K |
| 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 | 22% | 7,769 | 6,432 | $418K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 14% | 1,444 | 1,187 | $264K |
| 94060 | 6.8% | 5,297 | 4,680 | $129K | |
| E0601 | Continuous positive airway pressure (cpap) device | 6.6% | 3,237 | 3,033 | $124K |
| 94729 | 6.5% | 4,668 | 4,151 | $122K | |
| 94726 | 6.4% | 4,570 | 4,080 | $121K | |
| 99205 | Prolong outpt/office vis | 3.4% | 549 | 534 | $63K |
| 95806 | 2.0% | 773 | 658 | $37K | |
| 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% | 147 | 145 | $18K |
| A7035 | Headgear used with positive airway pressure device | <1% | 511 | 491 | $11K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 263 | 247 | $9K |
12 more codes
| A7030 | Full face mask used with positive airway pressure device, each | <1% | 80 | $8K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 453 | $6K |
| 94200 | <1% | 1,172 | $5K | |
| E0570 | Nebulizer, with compressor | <1% | 564 | $5K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 160 | $3K |
| 99407 | <1% | 120 | $2K | |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 58 | $2K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 30 | $1K |
| A7037 | Tubing used with positive airway pressure device | <1% | 49 | $1K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 18 | $559.20 |
| 99406 | <1% | 31 | $351.55 | |
| 94150 | <1% | 232 | $176.74 |
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 officialKHAMIEES, MOHAMMAD (PRESIDENT)