Physician
Aiken Pulmonary Associates, LLC
Aiken Pulmonary Associates, LLC was paid $31K by Medicaid between Jan 2018 and Sep 2019, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoAIKEN PULMONARY ASSOCIATES, LLC
AIKEN, SC 29801
AIKEN, SC 29801
33aNPI1710918982assigned 07/06/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$31K
24GClaims941
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in South Carolina
Rank by total paid#11 of 17
Median peer was paid$68K
This provider vs. median0.5×
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 | 485 | $15K | |
| 2019 | 456 | $17K |
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 | 65% | 369 | 141 | $20K |
| 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 | 13% | 51 | 15 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 64 | 13 | $3K |
| 94010 | 10% | 166 | 61 | $3K | |
| 94760 | 1.4% | 291 | 104 | $431.89 |
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 officialSANITO, NICHOLAS (SENIOR PARTNER)