Physician
Southcare Medical LLC
Southcare Medical LLC was paid $8.89M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSOUTHCARE MEDICAL LLC
ABBEVILLE, LA 70510
ABBEVILLE, LA 70510
33aNPI1215294830assigned 04/19/2012
33bProvider typePediatrics Physician
28Total paid$8.89M
24GClaims334,453
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#13 of 230
Median peer was paid$429K
This provider vs. median21×
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 | 65,650 | $1.54M | |
| 2019 | 54,885 | $1.45M | |
| 2020 | 43,829 | $1.15M | |
| 2021 | 41,844 | $1.23M | |
| 2022 | 41,533 | $1.23M | |
| 2023 | 44,396 | $1.18M | |
| 2024incomplete | 42,316 | $1.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 95,186 | 72,466 | $8.85M |
| 99051 | <1% | 1,972 | 1,566 | $26K | |
| 99050 | <1% | 459 | 331 | $5K | |
| 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 | <1% | 27,109 | 21,814 | $575.06 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 46,037 | 36,695 | $388.46 |
| 3044F | <1% | 1,048 | 838 | $380.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 14 | 13 | $330.00 |
| 3078F | <1% | 827 | 768 | $160.00 | |
| 3079F | <1% | 845 | 760 | $155.00 | |
| 3074F | <1% | 656 | 605 | $140.00 | |
| 0002A | <1% | 27 | 12 | $137.14 | |
| 3075F | <1% | 764 | 698 | $110.00 |
83 more codes
| 3072F | <1% | 391 | $90.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,269 | $71.23 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,908 | $70.91 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,157 | $59.59 |
| 3045F | <1% | 191 | $40.00 | |
| 92552 | <1% | 9,527 | $32.61 | |
| 1160F | <1% | 13,621 | $30.67 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,210 | $29.51 |
| 0012A | <1% | 30 | $26.20 | |
| 99408 | <1% | 763 | $21.22 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,011 | $18.38 |
| 0011A | <1% | 55 | $15.92 | |
| 99173 | <1% | 10,858 | $4.10 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 406 | $1.04 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,509 | $0.94 |
| 96160 | <1% | 8,505 | $0.16 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,000 | $0.06 |
| 96127 | <1% | 16,488 | $0.05 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,496 | $0.03 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,823 | $0.03 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,852 | $0.03 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,257 | $0.02 |
| 3725F | <1% | 11,053 | $0.02 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,471 | $0.02 |
| 90474 | <1% | 695 | $0.01 | |
| 99406 | 0% | 272 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,115 | $0.00 |
| 90680 | 0% | 852 | $0.00 | |
| 90716 | 0% | 1,166 | $0.00 | |
| 3061F | 0% | 1,200 | $0.00 | |
| 3008F | 0% | 4,189 | $0.00 | |
| 1111F | 0% | 1,338 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 893 | $0.00 |
| 90744 | 0% | 657 | $0.00 | |
| 00000 | 0% | 608 | $0.00 | |
| 90697 | 0% | 590 | $0.00 | |
| 90686 | 0% | 342 | $0.00 | |
| 90619 | 0% | 316 | $0.00 | |
| 99381 | 0% | 134 | $0.00 | |
| 90696 | 0% | 222 | $0.00 | |
| 99496 | 0% | 777 | $0.00 | |
| 90698 | 0% | 1,258 | $0.00 | |
| 1126F | 0% | 107 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 14 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 60 | $0.00 |
| 90620 | 0% | 243 | $0.00 | |
| 90651 | 0% | 791 | $0.00 | |
| 3060F | 0% | 68 | $0.00 | |
| 85018 | 0% | 39 | $0.00 | |
| 1170F | 0% | 204 | $0.00 | |
| 90723 | 0% | 33 | $0.00 | |
| 2015F | 0% | 120 | $0.00 | |
| 2000F | 0% | 155 | $0.00 | |
| 90660 | 0% | 93 | $0.00 | |
| 91301 | 0% | 85 | $0.00 | |
| 90747 | 0% | 18 | $0.00 | |
| 2016F | 0% | 120 | $0.00 | |
| 82962 | 0% | 120 | $0.00 | |
| 87428 | 0% | 143 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| 93000 | 0% | 13 | $0.00 | |
| 0001A | 0% | 74 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 19 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 15 | $0.00 |
| 1159F | 0% | 13,602 | $0.00 | |
| 90633 | 0% | 1,275 | $0.00 | |
| 90670 | 0% | 1,726 | $0.00 | |
| 81003 | 0% | 1,074 | $0.00 | |
| 90707 | 0% | 1,164 | $0.00 | |
| 90473 | 0% | 256 | $0.00 | |
| 81025 | 0% | 121 | $0.00 | |
| 90734 | 0% | 615 | $0.00 | |
| 90715 | 0% | 242 | $0.00 | |
| 90671 | 0% | 521 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 89 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 648 | $0.00 |
| 90681 | 0% | 243 | $0.00 | |
| 86328 | 0% | 1,589 | $0.00 | |
| 91300 | 0% | 209 | $0.00 | |
| 90648 | 0% | 39 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 12 | $0.00 |
| 3015F | 0% | 41 | $0.00 | |
| 3046F | 0% | 18 | $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, CRISTYANA (OFFICE MANAGER)