Physician
Lake Norman Pulmonary & Sleep, PA
Lake Norman Pulmonary & Sleep, PA was paid $255K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 47% of everything it billed.
33Billing provider infoLAKE NORMAN PULMONARY & SLEEP, PA
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
33aNPI1245345776assigned 08/21/2006
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$255K
24GClaims5,397
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in North Carolina
Rank by total paid#2 of 10
Median peer was paid$16K
This provider vs. median16×
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 | 171 | $12K | |
| 2019 | 30 | $11K | |
| 2020 | 284 | $3K | |
| 2021 | 924 | $58K | |
| 2022 | 1,033 | $25K | |
| 2023 | 1,366 | $47K | |
| 2024incomplete | 1,589 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 47% | 390 | 260 | $120K |
| 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 | 18% | 1,014 | 812 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 1,123 | 872 | $44K |
| 95811 | 8.2% | 75 | 51 | $21K | |
| 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 | 4.9% | 120 | 113 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 60 | 59 | $4K |
| 94010 | 1.1% | 201 | 184 | $3K | |
| 95806 | <1% | 12 | 12 | $2K | |
| 94729 | <1% | 87 | 82 | $1K | |
| 94727 | <1% | 89 | 78 | $901.02 | |
| 99458 | <1% | 13 | 13 | $165.11 | |
| 99457 | <1% | 13 | 13 | $112.19 |
13 more codes
| 99454 | <1% | 12 | $96.14 | |
| G8432 | Depression screening not documented, reason not given | 0% | 522 | $0.00 |
| 3017F | 0% | 319 | $0.00 | |
| 3079F | 0% | 45 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 71 | $0.00 |
| 3074F | 0% | 65 | $0.00 | |
| 1036F | 0% | 71 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 21 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 705 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 180 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 151 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 12 | $0.00 |
| 3078F | 0% | 26 | $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 officialSURDULESCU, SEVER (PRESIDENT)