Merrimack Valley Pulmonary Associates, P.C.
Merrimack Valley Pulmonary Associates, P.C. was paid $272K by Medicaid between Jan 2018 and Dec 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoMERRIMACK VALLEY PULMONARY ASSOCIATES, P.C.
NORTH ANDOVER, MA 01845
NORTH ANDOVER, MA 01845
33aNPI1427173624assigned 03/20/2007
33bProvider typeSpecialist
28Total paid$272K
24GClaims13,844
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#40 of 179
Median peer was paid$23K
This provider vs. median12×
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 | 2,841 | $66K | |
| 2019 | 3,032 | $61K | |
| 2020 | 2,206 | $49K | |
| 2021 | 2,410 | $47K | |
| 2022 | 1,867 | $30K | |
| 2023 | 1,488 | $17K |
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% | 3,411 | 3,338 | $126K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,067 | 1,056 | $35K |
| 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 | 10% | 403 | 401 | $28K |
| 94060 | 8.8% | 2,670 | 2,297 | $24K | |
| 94727 | 6.5% | 2,440 | 2,082 | $18K | |
| 94729 | 6.5% | 2,602 | 2,229 | $18K | |
| 99222 | Initial hospital care, per day, moderate complexity | 4.8% | 328 | 309 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 508 | 209 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $1K |
| 94664 | <1% | 146 | 143 | $848.75 | |
| 99442 | <1% | 195 | 193 | $135.95 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 26 | 13 | $98.58 |
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 officialPISICK, BARRY (PRESIDENT)