Physician
Pediatric Pulmonology of Western New England, P.C.
Pediatric Pulmonology of Western New England, P.C. was paid $701K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoPEDIATRIC PULMONOLOGY OF WESTERN NEW ENGLAND, P.C.
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1386665412assigned 07/22/2006
33bProvider typePediatric Pulmonology Physician
28Total paid$701K
24GClaims16,309
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Pulmonology Physician providers in Massachusetts
Rank by total paid#2 of 21
Median peer was paid$6K
This provider vs. median127×
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 | 1,968 | $85K | |
| 2019 | 2,101 | $94K | |
| 2020 | 1,645 | $68K | |
| 2021 | 2,254 | $86K | |
| 2022 | 2,268 | $95K | |
| 2023 | 3,046 | $130K | |
| 2024incomplete | 3,027 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 3,650 | 3,441 | $321K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,771 | 2,651 | $158K |
| 99205 | Prolong outpt/office vis | 14% | 594 | 591 | $95K |
| 94010 | 9.9% | 3,735 | 3,633 | $69K | |
| 94060 | 3.1% | 889 | 870 | $22K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.1% | 1,308 | 777 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 381 | 304 | $14K |
| 94760 | <1% | 2,571 | 2,473 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 131 | 126 | $2K |
| 99072 | 0% | 279 | 258 | $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 officialSALVA, PAUL (PRESIDENT)