Physician
Carolina Pulmonary Physicians, PA
Carolina Pulmonary Physicians, PA was paid $15K by Medicaid between Jan 2018 and Jan 2020, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.
33Billing provider infoCAROLINA PULMONARY PHYSICIANS, PA
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1932152485assigned 05/18/2006
33bProvider typePulmonary Disease Physician
28Total paid$15K
24GClaims655
24DCodes billed2
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Pulmonary Disease Physician providers in South Carolina
Rank by total paid#21 of 25
Median peer was paid$53K
This provider vs. median0.3×
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 | 357 | $6K | |
| 2019 | 284 | $8K | |
| 2020 | 14 | $1K |
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 | 90% | 432 | 421 | $13K |
| 94010 | 9.7% | 223 | 221 | $1K |
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 officialTAYLOR, DENISE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Taylors Enhanced Living INC. | Petersburg, VA | $2.59M |
| Second Chance II LLC | Dundalk, MD | $2.51M |
| One More Chance Recovery LLC | Dundalk, MD | $626K |
| Durham County DSS | Durham, NC | $85K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.