Southwest Mississippi Regional Medical Center
Southwest Mississippi Regional Medical Center was paid $218K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
MONTICELLO, MS 39654
Next to other Rural Health Clinic/Center providers in Mississippi
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 277 | $11K | |
| 2019 | 636 | $26K | |
| 2020 | 469 | $23K | |
| 2021 | 994 | $36K | |
| 2022 | 817 | $23K | |
| 2023 | 1,051 | $56K | |
| 2024incomplete | 668 | $43K |
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 | 51% | 2,046 | 1,792 | $112K |
| 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 | 43% | 1,915 | 1,632 | $94K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 4.3% | 601 | 595 | $9K |
| 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% | 19 | 19 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 135 | 95 | $478.37 |
| 36415 | Collection of venous blood by venipuncture | <1% | 114 | 111 | $162.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 49 | 38 | $109.64 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 33 | 27 | $40.17 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.