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.
33 Billing provider infoPULMONARY & CRITICAL CARE ASSOCIATES NEWARK, NJ 07102
33a NPI1467536623 assigned 10/24/2006
28 Total paid$314K
24G Claims16,229
24D Codes billed8
24A First – 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. median 13×
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 Proliferation Authorized official MILLER, RICHARD controls 20+ related entities in our dataset.
Read more
Box 24A · Dates of service
Paid by month
$0 $5.0K $10K $15K 2018 2019 2020 2021 2022 2023 2024
Paid that month Nov–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 1,697 $47K 2019 1,535 $39K 2020 3,565 $80K 2021 2,809 $63K 2022 2,636 $37K 2023 2,317 $30K 2024incomplete 1,670 $18K
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
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
Same official Other billing entities under MILLER, RICHARD Full network →
Provider Location Paid
Nassau Health Care Corporation East Meadow, NY $42.17M Nationwide Children's Hospital Toledo, LLC Toledo, OH $12.53M Nassau Health Care Corporation Uniondale, NY $11.59M Ohio Pediatric Care Alliance Physicians, LLC Springfield, OH $5.50M Nassau Health Care Corporation East Meadow, NY $5.34M Northwest Pediatric Specialists, LLC Toledo, OH $4.44M Suny Health Science Center at Bklyn Brooklyn, NY $2.99M Nassau Health Care Corporation East Meadow, NY $1.99M Nassau Health Care Corporation East Meadow, NY $1.72M Nassau Health Care Corporation East Meadow, NY $1.29M Nassau Health Care Corporation East Meadow, NY $605K Nassau Health Care Corporation East Meadow, NY $554K Northwest Children's Community Practices II, LLC Toledo, OH $542K Southwest MS Nephrology, PLLC Brookhaven, MS $471K Nassau Health Care Corporation East Meadow, NY $318K Nassau Health Care Corporation East Meadow, NY $302K Nassau Health Care Corporation East Meadow, NY $151K Nassau Health Care Corporation East Meadow, NY $146K Nassau Health Care Corporation East Meadow, NY $102K Nassau Health Care Corporation East Meadow, NY $97K
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.