Thoracic Medical Associates, LLC.
Thoracic Medical Associates, LLC. was paid $347K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoTHORACIC MEDICAL ASSOCIATES, LLC.
KEARNY, NJ 07032
KEARNY, NJ 07032
33aNPI1942398623assigned 10/10/2006
33bProvider typeSpecialist
28Total paid$347K
24GClaims12,630
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#111 of 378
Median peer was paid$63K
This provider vs. median5.6×
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 | 2,586 | $77K | |
| 2019 | 2,319 | $70K | |
| 2020 | 2,019 | $67K | |
| 2021 | 2,872 | $83K | |
| 2022 | 633 | $1K | |
| 2023 | 148 | $2K | |
| 2024incomplete | 2,053 | $48K |
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 | 60% | 4,596 | 3,923 | $209K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.6% | 1,497 | 280 | $30K |
| 94060 | 8.6% | 1,407 | 1,377 | $30K | |
| 94729 | 6.3% | 1,161 | 1,140 | $22K | |
| 94726 | 5.0% | 903 | 892 | $17K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 308 | 287 | $11K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 2.4% | 1,343 | 1,311 | $8K |
| 99223 | Prolong inpt eval add15 m | 2.4% | 203 | 194 | $8K |
| 94727 | <1% | 253 | 244 | $3K | |
| 94664 | <1% | 334 | 330 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 356 | 345 | $2K |
| 94621 | <1% | 42 | 41 | $2K |
5 more codes
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 officialDESAI, VIREN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pulmonary and Sleep Care Associates of Northern New Jersey ,LLC | Kearny, NJ | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.