Pulmonary Associates of Metrowest, P.C.

Pulmonary Associates of Metrowest, P.C. was paid $261K by Medicaid between Sep 2018 and Nov 2024, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 95% of everything it billed.

33Billing provider infoPULMONARY ASSOCIATES OF METROWEST, P.C.
NATICK, MA 01760

33aNPI1770636029assigned 01/19/2007

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$261K

24GClaims3,365

24DCodes billed5

24AFirst – last monthSep 2018 – Nov 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Massachusetts

Rank by total paid#2 of 16

Median peer was paid$8K

This provider vs. median32×

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	98	$9K
2019	571	$28K
2020	760	$54K
2021	606	$59K
2022	480	$43K
2023	385	$31K
2024incomplete	465	$37K

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	95%	2,906	1,076	$248K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.1%	387	133	$11K
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%	45	42	$1K
99292		<1%	12	12	$624.10
94760		<1%	15	15	$128.89

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 officialMARKOWITZ, DEBORAH (PRESIDENT)