Pulmonary Medicine of Wayne PC

Pulmonary Medicine of Wayne PC was paid $39K by Medicaid between Jan 2018 and Mar 2021, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 39% of everything it billed.

33Billing provider infoPULMONARY MEDICINE OF WAYNE PC
WAYNE, NJ 07470

33aNPI1265656615assigned 04/13/2007

33bProvider typePulmonary Disease Physician

28Total paid$39K

24GClaims1,812

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#52 of 112

Median peer was paid$24K

This provider vs. median1.6×

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	644	$13K
2019	489	$7K
2020	556	$13K
2021	123	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	39%	765	194	$15K
99307		15%	582	577	$6K
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	13%	79	78	$5K
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	11%	41	41	$4K
94060		9.5%	94	93	$4K
99308	Subsequent nursing facility care, per day, straightforward	4.5%	150	130	$2K
99222	Initial hospital care, per day, moderate complexity	3.8%	53	51	$1K
99305		2.1%	22	20	$805.28
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.3%	12	12	$488.66
99238	Hospital discharge day management, 30 minutes or less	<1%	14	13	$284.86

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 officialRAPPAPORT, LIVIU (OWNER)