Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SULPHUR SURGICAL CLINC

NPI: 1023003803 · SULPHUR, LA 70663 · Surgery Physician · NPI assigned 09/16/2005

$190K
Total Medicaid Paid
4,170
Total Claims
3,589
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSEALE, WILLIAM (OWNER/PARTNER)
NPI Enumeration Date09/16/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 919 $43K
2019 986 $62K
2020 713 $31K
2021 916 $53K
2023 440 $510.29
2024 196 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 825 771 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,006 860 $43K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 636 589 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 938 816 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 213 178 $24K
45380 Colonoscopy, flexible; with biopsy, single or multiple 20 14 $3K
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 57 43 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 42 27 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 415 277 $0.00
G8421 Bmi not documented and no reason is given 18 14 $0.00