Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pulmonary & Critical Care Associates

Pulmonary & Critical Care Associates was paid $314K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 52% of everything it billed.

33Billing provider infoPULMONARY & CRITICAL CARE ASSOCIATES
NEWARK, NJ 07102
33aNPI1467536623assigned 10/24/2006
28Total paid$314K
24GClaims16,229
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#17 of 112
Median peer was paid$24K
This provider vs. median13×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MILLER, RICHARD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,697$47K
20191,535$39K
20203,565$80K
20212,809$63K
20222,636$37K
20232,317$30K
2024incomplete1,670$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 52% 10,045 2,672 $164K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 23% 3,598 806 $72K
99222 Initial hospital care, per day, moderate complexity 16% 1,764 1,686 $50K
99223 Prolong inpt eval add15 m 8.3% 676 646 $26K
94060 <1% 100 93 $2K
94726 <1% 17 13 $51.40
94729 <1% 17 13 $34.20
94760 0% 12 12 $0.00

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 officialMILLER, RICHARD (PHYSICIAN)
Same official

Other billing entities under MILLER, RICHARD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.