Pulmonary Clinic of the Carolina's PC

Pulmonary Clinic of the Carolina's PC was paid $186K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 74% of everything it billed.

33Billing provider infoPULMONARY CLINIC OF THE CAROLINA'S PC
GASTONIA, NC 28054

33aNPI1003060286assigned 11/14/2008

33bProvider typePulmonary Disease Physician

28Total paid$186K

24GClaims7,472

24DCodes billed14

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in North Carolina

Rank by total paid#9 of 34

Median peer was paid$82K

This provider vs. median2.3×

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	2,912	$43K
2019	1,396	$47K
2020	1,148	$32K
2021	1,093	$31K
2022	744	$21K
2023	118	$9K
2024incomplete	61	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	74%	2,674	1,970	$139K
94060		14%	1,612	1,177	$25K
99205	Prolong outpt/office vis	3.3%	115	86	$6K
99407		2.5%	574	414	$5K
94729		1.7%	323	231	$3K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	1.5%	831	636	$3K
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	1.2%	97	66	$2K
94664		<1%	278	194	$970.62
99490	Ccm add 20min	<1%	274	172	$921.58
94726		<1%	73	56	$786.24
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	281	176	$174.24
94727		<1%	22	16	$166.60

2 more codes

94016		<1%	305	$93.51
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	0%	13	$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 officialEZIRI, EMEKA (MEDICAL DIRECTOR)