Physician
Central Mass Pulmonary PC
Central Mass Pulmonary PC was paid $18K by Medicaid between Jan 2018 and Mar 2019, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoCENTRAL MASS PULMONARY PC
STERLING, MA 01564
STERLING, MA 01564
33aNPI1750677720assigned 06/28/2011
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$18K
24GClaims1,005
24DCodes billed10
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Massachusetts
Rank by total paid#8 of 12
Median peer was paid$24K
This provider vs. median0.7×
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 | 845 | $13K | |
| 2019 | 160 | $5K |
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 | 94% | 359 | 352 | $17K |
| 99407 | 5.7% | 65 | 63 | $1K | |
| 1036F | 0% | 52 | 49 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 15 | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 223 | 213 | $0.00 |
| 3023F | 0% | 58 | 53 | $0.00 | |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 83 | 78 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 58 | 56 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 78 | 74 | $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% | 14 | 14 | $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 officialCROTEAU, ODALYS (OWNER)