Physician
Northern Virginia Pulmonary & Critical Care Assoc PC
Northern Virginia Pulmonary & Critical Care Assoc PC was paid $159K by Medicaid between Jan 2018 and May 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoNORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC PC
ANNANDALE, VA 22003
ANNANDALE, VA 22003
33aNPI1952487142assigned 10/31/2006
33bProvider typePulmonary Disease Physician
28Total paid$159K
24GClaims6,792
24DCodes billed7
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Pulmonary Disease Physician providers in Virginia
Rank by total paid#11 of 34
Median peer was paid$31K
This provider vs. median5.2×
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 | 1,033 | $10K | |
| 2019 | 1,151 | $17K | |
| 2020 | 1,117 | $37K | |
| 2021 | 1,239 | $38K | |
| 2022 | 1,397 | $34K | |
| 2023 | 855 | $23K |
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 | 37% | 1,506 | 1,260 | $58K |
| 94010 | 34% | 4,329 | 3,525 | $54K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 21% | 528 | 457 | $33K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.2% | 316 | 141 | $7K |
| 99205 | Prolong outpt/office vis | 3.7% | 60 | 57 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 40 | 14 | $1K |
| 95012 | <1% | 13 | 13 | $33.36 |
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 officialLAMBERTI, JAMES (PHYSICIAN)