Pulmonary Disease Group of Westchester PLLC

Pulmonary Disease Group of Westchester PLLC was paid $108K by Medicaid between Jul 2018 and Jul 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 76% of everything it billed.

33Billing provider infoPULMONARY DISEASE GROUP OF WESTCHESTER PLLC
YONKERS, NY 10701

33aNPI1720305071assigned 04/27/2010

33bProvider typePulmonary Disease Physician

28Total paid$108K

24GClaims2,744

24DCodes billed5

24AFirst – last monthJul 2018 – Jul 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#60 of 413

Median peer was paid$8K

This provider vs. median14×

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	12	$1K
2019	77	$4K
2020	476	$23K
2021	938	$35K
2022	639	$25K
2023	567	$18K
2024incomplete	35	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	76%	2,312	1,063	$81K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	16%	358	179	$17K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	4.3%	33	13	$5K
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	3.1%	29	27	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	12	12	$951.20

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 officialDEMATTEO, ROBERT (SOLE MEMBER)