Southeastern Pulmonary Assoc. PC

Southeastern Pulmonary Assoc. PC was paid $45K by Medicaid between Jan 2018 and Aug 2020, across 6 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 42% of everything it billed.

33Billing provider infoSOUTHEASTERN PULMONARY ASSOC. PC
NEW LONDON, CT 06320

33aNPI1295754273assigned 07/19/2006

33bProvider typePulmonary Disease Physician

28Total paid$45K

24GClaims1,679

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in Connecticut

Rank by total paid#15 of 28

Median peer was paid$45K

This provider vs. median1.0×

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	818	$23K
2019	714	$19K
2020	147	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	42%	286	78	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	613	551	$15K
94060		16%	368	349	$7K
94664		4.0%	367	349	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.0%	31	14	$902.75
99222	Initial hospital care, per day, moderate complexity	1.6%	14	14	$733.70

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 officialURBANETTI, JOHN (CEO)