Physician
Pulmonary & Critical Care Medicine Consultants PC
Pulmonary & Critical Care Medicine Consultants PC was paid $275K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoPULMONARY & CRITICAL CARE MEDICINE CONSULTANTS PC
CLARKSTON, MI 48346
CLARKSTON, MI 48346
33aNPI1851330773assigned 06/06/2006
33bProvider typePulmonary Disease Physician
28Total paid$275K
24GClaims18,967
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Michigan
Rank by total paid#22 of 63
Median peer was paid$118K
This provider vs. median2.3×
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 | 3,458 | $44K | |
| 2019 | 3,026 | $38K | |
| 2020 | 2,022 | $30K | |
| 2021 | 2,727 | $37K | |
| 2022 | 2,551 | $39K | |
| 2023 | 2,870 | $48K | |
| 2024incomplete | 2,313 | $39K |
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 | 49% | 2,515 | 2,464 | $134K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 18% | 584 | 582 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,004 | 963 | $37K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.3% | 286 | 99 | $17K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.5% | 403 | 130 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 177 | 73 | $6K |
| 94729 | 2.1% | 235 | 230 | $6K | |
| 99223 | Prolong inpt eval add15 m | 2.1% | 54 | 54 | $6K |
| 94726 | 1.9% | 205 | 201 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 67 | 63 | $4K |
| 94010 | <1% | 95 | 94 | $1K | |
| 94060 | <1% | 13 | 13 | $339.52 |
4 more codes
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 officialMOLDOVAN, LISA (PRACTICE MANAGER)