Physician
South Shore Pulmonary Medicine PC
South Shore Pulmonary Medicine PC was paid $59K by Medicaid between Jan 2020 and Sep 2024, across 8 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 55% of everything it billed.
33Billing provider infoSOUTH SHORE PULMONARY MEDICINE PC
LAWRENCE, NY 11559
LAWRENCE, NY 11559
33aNPI1750451001assigned 11/08/2006
33bProvider typePulmonary Disease Physician
28Total paid$59K
24GClaims1,059
24DCodes billed8
24AFirst – last monthJan 2020 – Sep 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in New York
Rank by total paid#91 of 413
Median peer was paid$8K
This provider vs. median7.5×
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 | |
|---|---|---|---|
| 2020 | 125 | $8K | |
| 2021 | 54 | $2K | |
| 2022 | 334 | $16K | |
| 2023 | 337 | $20K | |
| 2024incomplete | 209 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 55% | 358 | 197 | $32K |
| 94060 | 18% | 268 | 268 | $10K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 257 | 160 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 127 | 76 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.5% | 13 | 13 | $1K |
| 94729 | <1% | 12 | 12 | $512.43 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $442.47 |
| 94727 | <1% | 12 | 12 | $391.00 |
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 officialROTHMAN, NATHAN (PARTNER)