Clinic
Pulmonary & Critical Care Associates S C
Pulmonary & Critical Care Associates S C was paid $119K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 64% of everything it billed.
33Billing provider infoPULMONARY & CRITICAL CARE ASSOCIATES S C
CUDAHY, WI 53110
CUDAHY, WI 53110
33aNPI1104938331assigned 09/01/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$119K
24GClaims8,552
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Wisconsin
Rank by total paid#4 of 5
Median peer was paid$137K
This provider vs. median0.9×
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 | 2,775 | $30K | |
| 2019 | 2,416 | $35K | |
| 2020 | 893 | $13K | |
| 2021 | 481 | $9K | |
| 2022 | 497 | $6K | |
| 2023 | 217 | $4K | |
| 2024incomplete | 1,273 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 64% | 6,998 | 2,208 | $77K |
| 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% | 1,039 | 959 | $23K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 15% | 456 | 222 | $18K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.0% | 45 | 28 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 14 | 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 officialWALTER, ANGELA (OFFICE MANAGER)