Physician
Pulmonary and Critical Care of Northwest Michigan, P.C.
Pulmonary and Critical Care of Northwest Michigan, P.C. was paid $203K by Medicaid between Jan 2018 and Aug 2021, across 6 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 86% of everything it billed.
33Billing provider infoPULMONARY AND CRITICAL CARE OF NORTHWEST MICHIGAN, P.C.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1679575971assigned 06/01/2005
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$203K
24GClaims5,082
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Michigan
Rank by total paid#12 of 32
Median peer was paid$120K
This provider vs. median1.7×
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 | 1,597 | $59K | |
| 2019 | 1,098 | $34K | |
| 2020 | 1,292 | $60K | |
| 2021 | 1,095 | $51K |
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 | 86% | 1,506 | 302 | $174K |
| 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 | 5.1% | 234 | 230 | $10K |
| 94726 | 3.3% | 1,115 | 1,108 | $7K | |
| 94729 | 2.5% | 1,107 | 1,100 | $5K | |
| 94060 | 2.3% | 756 | 754 | $5K | |
| 94010 | <1% | 364 | 359 | $2K |
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 officialBOYER, MELISSA (PRACTICE ADMINISTRATOR)