Physician
Pulmonary Associates of Char LLC
Pulmonary Associates of Char LLC was paid $5.46M by Medicaid between Jan 2018 and Sep 2024, across 26 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 27% of everything it billed.
33Billing provider infoPULMONARY ASSOCIATES OF CHAR LLC
SOUTH CHARLESTON, WV 25309
SOUTH CHARLESTON, WV 25309
33aNPI1114124799assigned 06/28/2007
33bProvider typePulmonary Disease Physician
28Total paid$5.46M
24GClaims90,558
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in West Virginia
Rank by total paid#1 of 17
Median peer was paid$210K
This provider vs. median26×
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 | 16,329 | $1.34M | |
| 2019 | 11,103 | $746K | |
| 2020 | 17,256 | $976K | |
| 2021 | 17,204 | $820K | |
| 2022 | 16,838 | $879K | |
| 2023 | 9,379 | $519K | |
| 2024incomplete | 2,449 | $183K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 27% | 11,491 | 4,197 | $1.45M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 26% | 32,134 | 13,218 | $1.40M |
| 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 | 21% | 22,948 | 21,740 | $1.17M |
| 71250 | 5.9% | 4,625 | 4,436 | $324K | |
| 99223 | Prolong inpt eval add15 m | 5.1% | 2,624 | 2,490 | $280K |
| 94729 | 3.3% | 4,568 | 4,366 | $179K | |
| 94060 | 2.7% | 4,148 | 3,945 | $146K | |
| 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 | 2.7% | 1,551 | 1,479 | $145K |
| 94727 | 1.4% | 1,746 | 1,658 | $78K | |
| 95811 | 1.4% | 217 | 215 | $76K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,011 | 948 | $46K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 119 | 116 | $38K |
14 more codes
| 90686 | <1% | 588 | $22K | |
| 99292 | <1% | 160 | $17K | |
| 95806 | <1% | 313 | $15K | |
| 99406 | <1% | 829 | $15K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 223 | $14K |
| 94618 | <1% | 429 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 155 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 96 | $8K |
| 90677 | <1% | 19 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 171 | $4K |
| G0008 | Administration of influenza virus vaccine | <1% | 45 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 277 | $2K |
| 36556 | <1% | 15 | $839.72 | |
| 96160 | <1% | 56 | $396.61 |
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 officialMUSILLI, KEVIN (CFO)