Physician
Suburban Pulmonary Medicine, P. C.
Suburban Pulmonary Medicine, P. C. was paid $604K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 62% of everything it billed.
33Billing provider infoSUBURBAN PULMONARY MEDICINE, P. C.
RIDLEY PARK, PA 19078
RIDLEY PARK, PA 19078
33aNPI1407876295assigned 07/21/2006
33bProvider typePulmonary Disease Physician
28Total paid$604K
24GClaims11,622
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#4 of 137
Median peer was paid$7K
This provider vs. median84×
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 | 1,243 | $48K | |
| 2020 | 451 | $8K | |
| 2021 | 2,133 | $95K | |
| 2022 | 2,637 | $160K | |
| 2023 | 2,328 | $127K | |
| 2024incomplete | 2,830 | $166K |
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 | 62% | 4,104 | 1,120 | $374K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 2,608 | 763 | $72K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 8.1% | 1,155 | 686 | $49K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.7% | 1,474 | 748 | $47K |
| 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 | 4.9% | 1,115 | 1,087 | $30K |
| 94729 | 1.4% | 314 | 309 | $9K | |
| 94727 | 1.2% | 321 | 316 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 159 | 158 | $7K |
| 99292 | <1% | 43 | 39 | $2K | |
| 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 | <1% | 40 | 40 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 25 | 25 | $2K |
| 94010 | <1% | 147 | 142 | $2K |
1 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 117 | $768.92 |
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 officialPETTIT, SHANNON (OFFICE MANAGER)