Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Richmond Hill Pulmonary & Sleep Medicine PC

Richmond Hill Pulmonary & Sleep Medicine PC was paid $202K by Medicaid between Nov 2020 and Nov 2024, across 14 billing codes. Its largest line is 94060, — 46% of everything it billed.

33Billing provider infoRICHMOND HILL PULMONARY & SLEEP MEDICINE PC
RICHMOND HILL, NY 11418
33aNPI1235777152assigned 12/11/2019
33bProvider typeSpecialist
28Total paid$202K
24GClaims12,234
24DCodes billed14
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Specialist providers in New York

Rank by total paid#370 of 1,221
Median peer was paid$45K
This provider vs. median4.5×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2020141$2K
20213,455$54K
20223,833$65K
20232,489$44K
2024incomplete2,316$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
94060 46% 2,351 1,927 $92K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 658 616 $40K
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 19% 415 387 $39K
94664 7.6% 2,311 1,908 $15K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.0% 70 69 $6K
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 1.7% 27 27 $4K
99401 1.3% 162 157 $3K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1.1% 1,789 1,632 $2K
93000 <1% 29 29 $441.97
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 99 99 $203.44
94760 <1% 2,214 1,829 $175.55
97802 <1% 98 98 $55.11
2 more codes
97804 <1% 98 $11.96
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 1,913 $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 officialVARGHESE, SHINY (ANJALI) (OFFICE MANAGER)