Physician
Connecticut Pulmonary Specialists, PC
Connecticut Pulmonary Specialists, PC was paid $2.26M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoCONNECTICUT PULMONARY SPECIALISTS, PC
NEW HAVEN, CT 06519
NEW HAVEN, CT 06519
33aNPI1922397298assigned 04/07/2011
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$2.26M
24GClaims57,811
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Connecticut
Rank by total paid#3 of 13
Median peer was paid$12K
This provider vs. median193×
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 | 10,592 | $354K | |
| 2019 | 10,469 | $433K | |
| 2020 | 7,433 | $314K | |
| 2021 | 7,904 | $321K | |
| 2022 | 7,407 | $299K | |
| 2023 | 8,892 | $325K | |
| 2024incomplete | 5,114 | $211K |
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 | 38% | 17,489 | 14,256 | $849K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 21% | 1,649 | 1,281 | $478K |
| 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 | 11% | 2,648 | 2,246 | $259K |
| 95811 | 7.9% | 603 | 446 | $178K | |
| 94729 | 3.9% | 6,054 | 5,162 | $88K | |
| 96401 | 3.5% | 1,952 | 1,493 | $78K | |
| 94727 | 3.0% | 5,758 | 4,965 | $67K | |
| 94660 | 2.8% | 5,730 | 4,437 | $64K | |
| 94010 | 2.4% | 5,744 | 4,961 | $54K | |
| 99401 | 1.9% | 2,047 | 1,756 | $43K | |
| 99407 | 1.6% | 2,462 | 2,177 | $36K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 706 | 526 | $31K |
13 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 827 | $12K |
| 95012 | <1% | 2,340 | $11K | |
| 94664 | <1% | 798 | $4K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 37 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 90756 | <1% | 42 | $258.43 | |
| 90674 | <1% | 24 | $192.40 | |
| 94618 | <1% | 35 | $129.06 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $109.52 |
| 99406 | <1% | 29 | $85.14 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 17 | $15.70 |
| J2357 | Injection, omalizumab, 5 mg | <1% | 715 | $0.52 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 77 | $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 officialIMEVBORE, MICHAEL (OWNER)