Southwest Surgical Associates, INC.

Southwest Surgical Associates, INC. was paid $17K by Medicaid between Jan 2021 and Oct 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoSOUTHWEST SURGICAL ASSOCIATES, INC.
PULASKI, VA 24301

33aNPI1023647476assigned 04/07/2020

33bProvider typeSurgery Physician

28Total paid$17K

24GClaims334

24DCodes billed3

24AFirst – last monthJan 2021 – Oct 2024

Compared with peers

Next to other Surgery Physician providers in Virginia

Rank by total paid#19 of 50

Median peer was paid$3K

This provider vs. median5.7×

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
2021	114	$5K
2022	120	$6K
2023	45	$2K
2024incomplete	55	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	65%	252	223	$11K
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	30%	68	66	$5K
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	6.0%	14	12	$990.94

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 officialGOLDSTEIN, STUART (PRESIDENT)