Physician
Pulmonologists, PC
Pulmonologists, PC was paid $11K by Medicaid between Apr 2018 and Oct 2018, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoPULMONOLOGISTS, PC
GAITHERSBURG, MD 20877
GAITHERSBURG, MD 20877
33aNPI1245270719assigned 06/06/2006
33bProvider typePulmonary Disease Physician
28Total paid$11K
24GClaims299
24DCodes billed3
24AFirst – last monthApr 2018 – Oct 2018
Compared with peers
Next to other Pulmonary Disease Physician providers in Maryland
Rank by total paid#18 of 27
Median peer was paid$21K
This provider vs. median0.5×
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
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 | 299 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 182 | 163 | $7K |
| 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 | 36% | 98 | 74 | $4K |
| 71046 | Radiologic examination, chest; 2 views | 3.2% | 19 | 13 | $345.93 |
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 officialALVAREZ, ANA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Northstar Ppec LLC | Lauderhill, FL | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.