Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Midlands Pulmonary and Critical Care Specialists, PC

Midlands Pulmonary and Critical Care Specialists, PC was paid $81K by Medicaid between Nov 2018 and Apr 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoMIDLANDS PULMONARY AND CRITICAL CARE SPECIALISTS, PC
COLUMBIA, SC 29204
33aNPI1922587054assigned 08/09/2018
28Total paid$81K
24GClaims1,781
24DCodes billed7
24AFirst – last monthNov 2018 – Apr 2023
Compared with peers

Next to other Pulmonary Disease Physician providers in South Carolina

Rank by total paid#9 of 25
Median peer was paid$53K
This provider vs. median1.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201815$259.02
201958$5K
2020380$18K
2021540$25K
2022625$26K
2023163$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 76% 1,371 1,210 $62K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 13% 190 171 $11K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.8% 150 119 $5K
95811 4.3% 13 13 $3K
94010 <1% 27 24 $328.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 15 15 $147.20
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 15 15 $29.76

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 officialFELDMAN, GREGORY (OWNER)