Physician
Fayetteville Pulmonology Critical Care PC
Fayetteville Pulmonology Critical Care PC was paid $216K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoFAYETTEVILLE PULMONOLOGY CRITICAL CARE PC
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1982797072assigned 10/02/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$216K
24GClaims10,864
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in North Carolina
Rank by total paid#7 of 24
Median peer was paid$62K
This provider vs. median3.5×
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 | 1,506 | $26K | |
| 2019 | 1,541 | $30K | |
| 2020 | 1,271 | $21K | |
| 2021 | 1,633 | $33K | |
| 2022 | 1,537 | $34K | |
| 2023 | 1,607 | $29K | |
| 2024incomplete | 1,769 | $43K |
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 | 37% | 1,665 | 1,526 | $81K |
| 94729 | 17% | 2,768 | 2,517 | $37K | |
| 94726 | 17% | 2,818 | 2,557 | $37K | |
| 94010 | 17% | 2,923 | 2,649 | $36K | |
| 99205 | Prolong outpt/office vis | 6.2% | 122 | 103 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.6% | 215 | 187 | $12K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 353 | 347 | $0.01 |
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 officialDEV, GAUTAM (MEDICAL DOCTOR PRESIDENT)