Physician
Pulmonary and Sleep Care Associates of Northern New Jersey ,LLC
Pulmonary and Sleep Care Associates of Northern New Jersey ,LLC was paid $13K by Medicaid between Jan 2018 and Apr 2018, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoPULMONARY AND SLEEP CARE ASSOCIATES OF NORTHERN NEW JERSEY ,LLC
KEARNY, NJ 07032
KEARNY, NJ 07032
33aNPI1417480237assigned 04/07/2017
33bProvider typeInternal Medicine Physician
28Total paid$13K
24GClaims633
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#629 of 1,027
Median peer was paid$30K
This provider vs. median0.5×
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 | 633 | $13K |
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 | 37% | 187 | 173 | $5K |
| 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 | 24% | 70 | 70 | $3K |
| 94060 | 15% | 79 | 77 | $2K | |
| 94729 | 8.4% | 61 | 61 | $1K | |
| 94726 | 8.3% | 60 | 60 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 3.0% | 80 | 78 | $400.89 |
| 94664 | 2.8% | 58 | 55 | $370.68 | |
| 94727 | 1.4% | 12 | 12 | $186.40 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | 26 | $108.83 |
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 officialDESAI, VIREN (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Thoracic Medical Associates, LLC. | Kearny, NJ | $347K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.