Southeast Pulmonary and Critical Care LLC

Southeast Pulmonary and Critical Care LLC was paid $44K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.

33Billing provider infoSOUTHEAST PULMONARY AND CRITICAL CARE LLC
ROCK HILL, SC 29732

33aNPI1275830507assigned 02/23/2011

33bProvider typePrimary Care Clinic/Center

28Total paid$44K

24GClaims3,577

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in South Carolina

Rank by total paid#26 of 38

Median peer was paid$200K

This provider vs. median0.2×

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	673	$7K
2019	775	$10K
2020	522	$11K
2021	536	$5K
2022	497	$6K
2023	389	$4K
2024incomplete	185	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	64%	1,870	1,779	$28K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	24%	479	141	$11K
94010		9.7%	1,134	1,093	$4K
99223	Prolong inpt eval add15 m	1.4%	14	14	$633.01
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.0%	80	79	$451.84

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 officialDENENBERG, MICHAEL (PHYSICIAN)