Shoreline Pulmonary Associates LLC

Shoreline Pulmonary Associates LLC was paid $236K by Medicaid between Jan 2018 and Feb 2022, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 94% of everything it billed.

33Billing provider infoSHORELINE PULMONARY ASSOCIATES LLC
NEW LONDON, CT 06320

33aNPI1396804654assigned 12/06/2006

33bProvider typePulmonary Disease Physician

28Total paid$236K

24GClaims4,323

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Pulmonary Disease Physician providers in Connecticut

Rank by total paid#9 of 28

Median peer was paid$45K

This provider vs. median5.3×

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	1,170	$68K
2019	1,053	$49K
2020	1,006	$58K
2021	1,077	$61K
2022	17	$176.29

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	94%	3,642	980	$221K
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	5.7%	492	283	$13K
94010		<1%	175	93	$637.72
99223	Prolong inpt eval add15 m	<1%	14	12	$533.25

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 officialDUHIG, NIALL (OWNER)