Physician
Pulmonology Associates INC
Pulmonology Associates INC was paid $476K by Medicaid between Oct 2020 and Nov 2024, across 6 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 infoPULMONOLOGY ASSOCIATES INC
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
33aNPI1437180742assigned 07/05/2006
33bProvider typePulmonary Disease Physician
28Total paid$476K
24GClaims5,446
24DCodes billed6
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#5 of 137
Median peer was paid$7K
This provider vs. median67×
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 | |
|---|---|---|---|
| 2020 | 533 | $48K | |
| 2021 | 1,650 | $154K | |
| 2022 | 1,778 | $168K | |
| 2023 | 1,232 | $91K | |
| 2024incomplete | 253 | $15K |
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% | 4,375 | 1,506 | $446K |
| 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 | 2.9% | 397 | 380 | $14K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.2% | 255 | 152 | $11K |
| 94010 | <1% | 394 | 377 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $682.95 |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $222.60 |
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 officialPETERSON, DONALD (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.