Clinic
Tri-County Pulmonary and Critical Care PLLC
Tri-County Pulmonary and Critical Care PLLC was paid $11K by Medicaid between Apr 2021 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoTRI-COUNTY PULMONARY AND CRITICAL CARE PLLC
DENVER, NC 28037
DENVER, NC 28037
33aNPI1831635598assigned 01/18/2017
33bProvider typeMedical Specialty Clinic/Center
28Total paid$11K
24GClaims366
24DCodes billed5
24AFirst – last monthApr 2021 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in North Carolina
Rank by total paid#26 of 31
Median peer was paid$245K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 92 | $2K | |
| 2022 | 72 | $3K | |
| 2024incomplete | 202 | $7K |
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 | 74% | 264 | 198 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 35 | 13 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.7% | 18 | 12 | $850.58 |
| 94010 | 2.6% | 34 | 31 | $285.68 | |
| 94060 | 2.5% | 15 | 15 | $273.09 |
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 officialGUPTA, PRAG (PRESIDENT)