Physician
Southcare Medical LLC
Southcare Medical LLC was paid $644K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSOUTHCARE MEDICAL LLC
LAFAYETTE, LA 70506
LAFAYETTE, LA 70506
33aNPI1093170433assigned 12/30/2015
33bProvider typePediatrics Physician
28Total paid$644K
24GClaims26,841
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#101 of 230
Median peer was paid$429K
This provider vs. median1.5×
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 | 4,267 | $111K | |
| 2019 | 3,909 | $96K | |
| 2020 | 4,432 | $83K | |
| 2021 | 5,231 | $148K | |
| 2022 | 4,917 | $130K | |
| 2023 | 3,255 | $66K | |
| 2024incomplete | 830 | $11K |
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 | 42% | 7,104 | 5,377 | $271K |
| 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% | 4,159 | 3,078 | $151K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 696 | 625 | $42K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 438 | 388 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 467 | 408 | $28K |
| 92552 | 3.8% | 2,042 | 1,717 | $25K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.2% | 1,716 | 1,454 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 539 | 470 | $14K |
| 86328 | 2.1% | 661 | 353 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 220 | 187 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 867 | 751 | $11K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 208 | 157 | $7K |
25 more codes
| 96127 | 1.0% | 1,971 | $6K | |
| 99173 | <1% | 2,266 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 57 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 362 | $3K |
| 87428 | <1% | 59 | $928.20 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 267 | $880.33 |
| 99050 | <1% | 57 | $719.36 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 72 | $564.59 |
| 96160 | <1% | 462 | $342.31 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 60 | $262.06 |
| 0012A | <1% | 26 | $259.56 | |
| 0011A | <1% | 16 | $159.07 | |
| 90686 | <1% | 222 | $20.53 | |
| 90633 | <1% | 29 | $0.03 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 16 | $0.00 |
| 90698 | 0% | 26 | $0.00 | |
| 90651 | 0% | 15 | $0.00 | |
| 3008F | 0% | 22 | $0.00 | |
| 91301 | 0% | 49 | $0.00 | |
| 3725F | 0% | 800 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 338 | $0.00 |
| 90670 | 0% | 40 | $0.00 | |
| 1160F | 0% | 224 | $0.00 | |
| 1159F | 0% | 223 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 45 | $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 officialSUGENG, BUDI (MD)