Physician
Valley Pulmonary & Medical Associates, PC
Valley Pulmonary & Medical Associates, PC was paid $234K by Medicaid between Jan 2018 and Oct 2021, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.
33Billing provider infoVALLEY PULMONARY & MEDICAL ASSOCIATES, PC
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1720109135assigned 04/03/2007
33bProvider typePulmonary Disease Physician
28Total paid$234K
24GClaims8,246
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Pulmonary Disease Physician providers in Massachusetts
Rank by total paid#5 of 44
Median peer was paid$7K
This provider vs. median35×
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 | 2,822 | $60K | |
| 2019 | 2,572 | $69K | |
| 2020 | 1,736 | $62K | |
| 2021 | 1,116 | $44K |
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 | 87% | 5,246 | 4,805 | $203K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 427 | 390 | $18K |
| 99497 | 2.0% | 147 | 141 | $5K | |
| 99443 | 1.4% | 705 | 665 | $3K | |
| 94664 | 1.3% | 547 | 527 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 258 | 248 | $720.72 |
| 82947 | <1% | 648 | 597 | $628.04 | |
| 94060 | <1% | 59 | 58 | $282.65 | |
| 94727 | <1% | 45 | 44 | $196.34 | |
| 94729 | <1% | 45 | 44 | $169.76 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 119 | 113 | $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 officialRIVET, SHARON (OFFICE MANAGER)