Physician
Pulmonary Associates of Morristown
Pulmonary Associates of Morristown was paid $266K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoPULMONARY ASSOCIATES OF MORRISTOWN
MORRISTOWN, TN 37814
MORRISTOWN, TN 37814
33aNPI1730101684assigned 07/23/2006
33bProvider typePulmonary Disease Physician
28Total paid$266K
24GClaims75,736
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Tennessee
Rank by total paid#11 of 62
Median peer was paid$26K
This provider vs. median10×
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 | 14,121 | $57K | |
| 2019 | 13,397 | $58K | |
| 2020 | 10,163 | $34K | |
| 2021 | 10,893 | $38K | |
| 2022 | 9,983 | $27K | |
| 2023 | 9,684 | $29K | |
| 2024incomplete | 7,495 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 6,318 | 5,667 | $53K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 3,877 | 945 | $38K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 13% | 4,317 | 1,116 | $33K |
| 99223 | Prolong inpt eval add15 m | 12% | 1,057 | 931 | $33K |
| 99222 | Initial hospital care, per day, moderate complexity | 10% | 1,026 | 911 | $28K |
| 94729 | 5.8% | 1,936 | 1,810 | $15K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.0% | 617 | 130 | $13K |
| 94727 | 4.8% | 1,944 | 1,817 | $13K | |
| 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 | 4.0% | 646 | 578 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 2,531 | 1,511 | $8K |
| 94010 | 2.4% | 1,165 | 1,105 | $6K | |
| 99406 | 2.0% | 3,284 | 2,923 | $5K |
27 more codes
| 94060 | 2.0% | 815 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 96 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 88 | $666.00 |
| 90686 | <1% | 42 | $217.27 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 329 | $185.95 |
| 90688 | <1% | 92 | $184.52 | |
| G0008 | Administration of influenza virus vaccine | <1% | 135 | $136.77 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 32 | $83.07 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,434 | $59.17 |
| 94664 | <1% | 13 | $14.68 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 4,706 | $0.07 |
| 1124F | <1% | 8,708 | $0.07 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 10,241 | $0.07 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | <1% | 1,038 | $0.04 |
| G8482 | Influenza immunization administered or previously received | <1% | 5,290 | $0.04 |
| G8484 | Influenza immunization was not administered, reason not given | <1% | 1,968 | $0.02 |
| 1036F | <1% | 2,266 | $0.01 | |
| 4040F | <1% | 3,468 | $0.01 | |
| 3023F | <1% | 1,163 | $0.01 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 2,145 | $0.00 |
| 1123F | 0% | 899 | $0.00 | |
| 3025F | 0% | 257 | $0.00 | |
| 4140F | 0% | 48 | $0.00 | |
| 4004F | 0% | 1,093 | $0.00 | |
| G9990 | Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 138 | $0.00 |
| 4025F | 0% | 255 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 259 | $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 officialMEJIA, ERNESTO (OWNER/ PROVIDER)