Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CT › New Haven › NPI 1871738922
Physician

Chapel Pulmonary and Critical Care, LLC

Chapel Pulmonary and Critical Care, LLC was paid $70K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoCHAPEL PULMONARY AND CRITICAL CARE, LLC
NEW HAVEN, CT 06511
33aNPI1871738922assigned 12/03/2008
28Total paid$70K
24GClaims5,265
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

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

Rank by total paid#6 of 13
Median peer was paid$12K
This provider vs. median5.9×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018367$11K
2019481$11K
2020382$9K
2021388$7K
20221,086$11K
20231,577$12K
2024incomplete984$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 1,621 1,417 $38K
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 37% 924 793 $26K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.4% 32 26 $2K
94060 2.3% 152 120 $2K
94729 1.5% 82 67 $1K
94727 1.4% 95 79 $982.35
94760 <1% 996 950 $453.18
94010 <1% 48 29 $388.62
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 341 330 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 263 254 $0.00
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 0% 110 110 $0.00
1036F 0% 324 313 $0.00
1 more codes
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 277 $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 officialRODRIGUES, ALLAN (OWNER)