Physician
Kent Pulmonary Associates
Kent Pulmonary Associates was paid $2.27M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoKENT PULMONARY ASSOCIATES
DOVER, DE 19904
DOVER, DE 19904
33aNPI1801801675assigned 07/30/2006
33bProvider typePulmonary Disease Physician
28Total paid$2.27M
24GClaims52,747
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Delaware
Rank by total paid#1 of 11
Median peer was paid$68K
This provider vs. median33×
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 | 7,903 | $41K | |
| 2019 | 10,081 | $196K | |
| 2020 | 10,244 | $667K | |
| 2021 | 10,061 | $643K | |
| 2022 | 6,354 | $386K | |
| 2023 | 5,251 | $221K | |
| 2024incomplete | 2,853 | $119K |
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 | 29% | 14,571 | 12,895 | $660K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 27% | 5,974 | 1,258 | $606K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 7,525 | 2,659 | $242K |
| 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 | 6.7% | 1,766 | 1,616 | $152K |
| 99223 | Prolong inpt eval add15 m | 5.9% | 1,819 | 1,574 | $133K |
| 94060 | 4.5% | 3,996 | 3,698 | $101K | |
| 94729 | 4.4% | 3,995 | 3,697 | $100K | |
| 94726 | 4.3% | 3,993 | 3,696 | $97K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 1,352 | 1,245 | $53K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 658 | 607 | $39K |
| 94664 | 1.2% | 4,055 | 3,724 | $27K | |
| 99442 | <1% | 301 | 289 | $11K |
20 more codes
| 99292 | <1% | 174 | $8K | |
| 99457 | <1% | 216 | $7K | |
| 94618 | <1% | 451 | $6K | |
| 95800 | <1% | 129 | $5K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 75 | $4K |
| 95806 | <1% | 84 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 34 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 154 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 420 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 15 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 260 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 84 | $2K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 26 | $1K |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 70 | $836.06 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 63 | $632.31 |
| 99454 | <1% | 15 | $503.03 | |
| 99443 | <1% | 15 | $385.08 | |
| 90686 | <1% | 26 | $347.06 | |
| 90688 | <1% | 67 | $197.06 | |
| 94761 | <1% | 364 | $38.95 |
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 officialJAWAHAR, DAVID (OWNERPHYSICIAN)