Physician
Charleston Pulmonary Associates PA
Charleston Pulmonary Associates PA was paid $18K by Medicaid between Jan 2022 and Mar 2024, across 5 billing codes. Its largest line is 95800, — 41% of everything it billed.
33Billing provider infoCHARLESTON PULMONARY ASSOCIATES PA
CHARLESTON, SC 29403
CHARLESTON, SC 29403
33aNPI1053360198assigned 05/08/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$18K
24GClaims229
24DCodes billed5
24AFirst – last monthJan 2022 – Mar 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in South Carolina
Rank by total paid#13 of 17
Median peer was paid$68K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 80 | $6K | |
| 2023 | 136 | $11K | |
| 2024incomplete | 13 | $896.77 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95800 | 41% | 86 | 84 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 64 | 64 | $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 | 19% | 41 | 40 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 25 | 25 | $2K |
| 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 | 9.6% | 13 | 13 | $2K |
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 officialDAWSON, WILLIAM (PRESIDENT)