Physician
Northern Respiratory Specialist, PC
Northern Respiratory Specialist, PC was paid $104K by Medicaid between Jan 2018 and Jan 2021, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoNORTHERN RESPIRATORY SPECIALIST, PC
MAHOPAC, NY 10541
MAHOPAC, NY 10541
33aNPI1538260344assigned 09/26/2006
33bProvider typePulmonary Disease Physician
28Total paid$104K
24GClaims2,250
24DCodes billed10
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Pulmonary Disease Physician providers in New York
Rank by total paid#62 of 413
Median peer was paid$8K
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.
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 | 984 | $45K | |
| 2019 | 1,007 | $46K | |
| 2020 | 245 | $12K | |
| 2021 | 14 | $1K |
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 | 61% | 714 | 528 | $63K |
| 94060 | 15% | 311 | 285 | $16K | |
| 94729 | 7.1% | 197 | 195 | $7K | |
| 93040 | 6.5% | 670 | 522 | $7K | |
| 94727 | 5.6% | 198 | 196 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 28 | 24 | $2K |
| 95012 | 1.6% | 90 | 76 | $2K | |
| 94010 | <1% | 18 | 12 | $589.77 | |
| 93000 | <1% | 12 | 12 | $169.58 | |
| 96161 | <1% | 12 | 12 | $27.37 |
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 officialGUPTA, RAJ (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| San Jose Pacific Neurology CNTR Prof Cor | San Jose, CA | $32K |
| Garden State Spine and Pain Institute LLC | Eatontown, NJ | $14K |
| Raj K Gupta MD PC | Taylor, MI | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.