Physician
Surgical Hospital Management System LLC
Surgical Hospital Management System LLC was paid $199K by Medicaid between Feb 2018 and Aug 2023, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 39% of everything it billed.
33Billing provider infoSURGICAL HOSPITAL MANAGEMENT SYSTEM LLC
LAFAYETTE, LA 70503
LAFAYETTE, LA 70503
33aNPI1043595804assigned 10/12/2011
33bProvider typeSurgery Physician
28Total paid$199K
24GClaims5,310
24DCodes billed8
24AFirst – last monthFeb 2018 – Aug 2023
Compared with peers
Next to other Surgery Physician providers in Louisiana
Rank by total paid#6 of 65
Median peer was paid$28K
This provider vs. median7.1×
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 | 517 | $11K | |
| 2019 | 1,046 | $27K | |
| 2020 | 1,004 | $46K | |
| 2021 | 1,418 | $64K | |
| 2022 | 719 | $24K | |
| 2023 | 606 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 39% | 2,301 | 1,374 | $77K |
| 99223 | Prolong inpt eval add15 m | 24% | 641 | 580 | $48K |
| 99222 | Initial hospital care, per day, moderate complexity | 13% | 562 | 513 | $27K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 8.2% | 1,034 | 607 | $16K |
| 99221 | 6.2% | 329 | 290 | $12K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.0% | 305 | 275 | $10K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 99 | 55 | $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 | 1.9% | 39 | 39 | $4K |
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 officialGACHASSIN, PHILIP (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Surgical Critical Services, LLC | Lafayette, LA | $82K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.