Community Pulmonary Associates PA

Community Pulmonary Associates PA was paid $219K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoCOMMUNITY PULMONARY ASSOCIATES PA
TOMS RIVER, NJ 08755

33aNPI1447365754assigned 08/20/2006

33bProvider typePulmonary Disease Physician

28Total paid$219K

24GClaims4,281

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#25 of 112

Median peer was paid$24K

This provider vs. median9.0×

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	319	$21K
2019	589	$37K
2020	479	$26K
2021	805	$50K
2022	741	$35K
2023	809	$31K
2024incomplete	539	$19K

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	54%	1,822	1,731	$118K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	29%	691	628	$63K
94010		8.3%	1,114	1,062	$18K
94060		5.8%	462	441	$13K
99205	Prolong outpt/office vis	2.4%	37	37	$5K
G0008	Administration of influenza virus vaccine	<1%	59	58	$717.92
95012		<1%	37	37	$563.25
90674		<1%	24	24	$501.41
90688		<1%	35	34	$396.84

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 officialNAYAK, YESHAVANTH (PRESIDENT)