Pulmonary & Primary Care Associates of Plymouth, PC

Pulmonary & Primary Care Associates of Plymouth, PC was paid $78K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoPULMONARY & PRIMARY CARE ASSOCIATES OF PLYMOUTH, PC
PLYMOUTH, MA 02360

33aNPI1710016316assigned 03/02/2007

33bProvider typePulmonary Disease Physician

28Total paid$78K

24GClaims2,559

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Massachusetts

Rank by total paid#10 of 44

Median peer was paid$7K

This provider vs. median12×

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	688	$21K
2019	362	$12K
2020	381	$13K
2021	398	$11K
2022	265	$9K
2023	320	$9K
2024incomplete	145	$3K

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	74%	1,753	1,661	$58K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	591	532	$19K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	24	13	$688.30
94726		<1%	24	24	$100.98
96127		<1%	131	123	$87.90
94729		<1%	24	24	$74.94
G0008	Administration of influenza virus vaccine	<1%	12	12	$29.87

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 officialNAHILL, ROBERT (PRESIDENT)