Physician
Mercer Bucks Pulmonary Critical Care Sleep Medicine P.A.
Mercer Bucks Pulmonary Critical Care Sleep Medicine P.A. was paid $67K by Medicaid between Jan 2018 and Apr 2024, across 13 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 48% of everything it billed.
33Billing provider infoMERCER BUCKS PULMONARY CRITICAL CARE SLEEP MEDICINE P.A.
TRENTON, NJ 08618
TRENTON, NJ 08618
33aNPI1497873541assigned 03/27/2007
33bProvider typePulmonary Disease Physician
28Total paid$67K
24GClaims3,444
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New Jersey
Rank by total paid#41 of 112
Median peer was paid$24K
This provider vs. median2.8×
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 | 794 | $40K | |
| 2019 | 318 | $7K | |
| 2020 | 703 | $4K | |
| 2021 | 486 | $2K | |
| 2022 | 519 | $6K | |
| 2023 | 486 | $7K | |
| 2024incomplete | 138 | $1K |
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 | 48% | 318 | 132 | $32K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 27% | 1,260 | 595 | $18K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 872 | 385 | $11K |
| 99223 | Prolong inpt eval add15 m | 6.5% | 131 | 125 | $4K |
| 99490 | Ccm add 20min | <1% | 417 | 409 | $390.26 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 88 | 88 | $226.33 |
| 94060 | <1% | 15 | 15 | $122.11 | |
| 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 | <1% | 55 | 54 | $74.06 |
| 94726 | <1% | 15 | 15 | $38.41 | |
| 94729 | <1% | 15 | 15 | $26.55 | |
| 94200 | <1% | 15 | 15 | $12.00 | |
| 99454 | 0% | 121 | 121 | $0.00 |
1 more codes
| 99457 | 0% | 122 | $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 officialGUGNANI, MANISH (PRESIDENT)