Palmetto Pulmonary Medicine. P.A.

Palmetto Pulmonary Medicine. P.A. was paid $8K by Medicaid between Jan 2018 and Apr 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoPALMETTO PULMONARY MEDICINE. P.A.
BEAUFORT, SC 29902

33aNPI1659430726assigned 12/06/2006

33bProvider typePulmonary Disease Physician

28Total paid$8K

24GClaims206

24DCodes billed5

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in South Carolina

Rank by total paid#24 of 25

Median peer was paid$53K

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	162	$6K
2019	32	$1K
2023	12	$773.75

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	48%	113	86	$4K
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	25%	47	40	$2K
99223	Prolong inpt eval add15 m	11%	17	12	$822.67
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.3%	17	14	$725.27
99222	Initial hospital care, per day, moderate complexity	7.4%	12	12	$577.40

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 officialMANOS, PETER (OWNER)