Physician
Pulmonary and Critical Care Associates of New Jersey
Pulmonary and Critical Care Associates of New Jersey was paid $673K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 56% of everything it billed.
33Billing provider infoPULMONARY AND CRITICAL CARE ASSOCIATES OF NEW JERSEY
HALEDON, NJ 07508
HALEDON, NJ 07508
33aNPI1417372251assigned 03/04/2014
33bProvider typeInternal Medicine Physician
28Total paid$673K
24GClaims14,286
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#92 of 1,027
Median peer was paid$30K
This provider vs. median23×
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 | 1,258 | $81K | |
| 2019 | 1,320 | $68K | |
| 2020 | 926 | $62K | |
| 2021 | 1,358 | $64K | |
| 2022 | 2,048 | $126K | |
| 2023 | 3,902 | $145K | |
| 2024incomplete | 3,474 | $126K |
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 | 56% | 6,591 | 2,466 | $378K |
| 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 | 11% | 1,227 | 1,136 | $73K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 9.5% | 1,986 | 272 | $64K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.3% | 1,236 | 1,123 | $49K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 850 | 761 | $38K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.6% | 1,642 | 163 | $31K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.7% | 174 | 46 | $18K |
| 95806 | 1.1% | 201 | 184 | $8K | |
| 99223 | Prolong inpt eval add15 m | 1.1% | 149 | 136 | $8K |
| 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% | 26 | 26 | $2K |
| 99254 | <1% | 25 | 25 | $2K | |
| 90674 | <1% | 60 | 59 | $1K |
7 more codes
| 94729 | <1% | 15 | $501.14 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | $471.44 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $444.15 |
| 94727 | <1% | 15 | $370.01 | |
| 94010 | <1% | 15 | $229.52 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $80.63 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 15 | $15.00 |
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 officialALBERAQDAR, ENIS (DOCTOR/OWNER)