Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pulmonary Disease Clinical Group

Pulmonary Disease Clinical Group was paid $284K by Medicaid between Mar 2018 and Jul 2024, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 96% of everything it billed.

33Billing provider infoPULMONARY DISEASE CLINICAL GROUP
ROCHESTER, NY 14642
33aNPI1881641652assigned 05/27/2006
28Total paid$284K
24GClaims1,692
24DCodes billed4
24AFirst – last monthMar 2018 – Jul 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#37 of 413
Median peer was paid$8K
This provider vs. median36×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HETTERICH, JILL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
201821$2K
201932$4K
2020270$52K
2021736$129K
2022280$50K
2023214$31K
2024incomplete139$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 96% 1,497 582 $273K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.9% 151 80 $11K
94010 <1% 29 29 $200.44
94729 <1% 15 15 $90.60

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 officialHETTERICH, JILL (SENIOR DIRECTOR OF FINANCE URMFG)
Same official

Other billing entities under HETTERICH, JILL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.