Physician
Sulphur Surgical Clinc
Sulphur Surgical Clinc was paid $190K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 33% of everything it billed.
33Billing provider infoSULPHUR SURGICAL CLINC
SULPHUR, LA 70663
SULPHUR, LA 70663
33aNPI1023003803assigned 09/16/2005
33bProvider typeSurgery Physician
28Total paid$190K
24GClaims4,170
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Surgery Physician providers in Louisiana
Rank by total paid#7 of 65
Median peer was paid$28K
This provider vs. median6.8×
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 | 919 | $43K | |
| 2019 | 986 | $62K | |
| 2020 | 713 | $31K | |
| 2021 | 916 | $53K | |
| 2023 | 440 | $510.29 | |
| 2024incomplete | 196 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 825 | 771 | $62K |
| 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 | 23% | 1,006 | 860 | $43K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 636 | 589 | $31K |
| 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% | 938 | 816 | $26K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 213 | 178 | $24K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.8% | 20 | 14 | $3K |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 57 | 43 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 42 | 27 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 415 | 277 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 18 | 14 | $0.00 |
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 officialSEALE, WILLIAM (OWNER/PARTNER)