Carolina Pulmonary and Critical Care Associates, P.A.

Carolina Pulmonary and Critical Care Associates, P.A. was paid $10K by Medicaid between Mar 2018 and Mar 2024, across 2 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 85% of everything it billed.

33Billing provider infoCAROLINA PULMONARY AND CRITICAL CARE ASSOCIATES, P.A.
LINCOLNTON, NC 28092

33aNPI1265486534assigned 05/20/2006

33bProvider typeInternal Medicine Physician

28Total paid$10K

24GClaims2,331

24DCodes billed2

24AFirst – last monthMar 2018 – Mar 2024

Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#429 of 616

Median peer was paid$74K

This provider vs. median0.1×

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	32	$724.00
2019	12	$168.88
2020	15	$494.36
2021	317	$2K
2022	748	$2K
2023	966	$3K
2024incomplete	241	$707.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	85%	2,272	2,176	$8K
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	15%	59	49	$1K

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 officialBUCHANAN, JUDY (BUSINESS MANAGER)