Pulmonary Group of Western New York, LLP

Pulmonary Group of Western New York, LLP was paid $136K by Medicaid between Jan 2018 and Sep 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoPULMONARY GROUP OF WESTERN NEW YORK, LLP
WILLIAMSVILLE, NY 14221

33aNPI1629131180assigned 12/18/2006

33bProvider typePulmonary Disease Physician

28Total paid$136K

24GClaims2,696

24DCodes billed15

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#52 of 413

Median peer was paid$8K

This provider vs. median17×

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	337	$20K
2019	305	$16K
2020	563	$16K
2021	403	$23K
2022	370	$23K
2023	637	$34K
2024incomplete	81	$5K

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	39%	683	668	$53K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	918	898	$51K
94060		6.5%	218	218	$9K
94729		5.2%	196	195	$7K
94726		4.1%	158	157	$6K
99223	Prolong inpt eval add15 m	2.7%	32	31	$4K
99222	Initial hospital care, per day, moderate complexity	2.5%	39	39	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.8%	53	33	$2K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$942.01
99442		<1%	18	15	$565.46
90686		<1%	12	12	$228.18
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	12	$138.51

3 more codes

94760		<1%	321	$117.99
94761		<1%	12	$17.46
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	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 officialSFEIR, NORMAN (PHYSICIAN)