Southern Anesthesia Associates LLC
Southern Anesthesia Associates LLC was paid $1.44M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 93458, — 27% of everything it billed.
33Billing provider infoSOUTHERN ANESTHESIA ASSOCIATES LLC
PONCE, PR 00731
PONCE, PR 00731
33aNPI1336120153assigned 11/09/2005
33bProvider typeSpecialist
28Total paid$1.44M
24GClaims31,543
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#17 of 316
Median peer was paid$26K
This provider vs. median56×
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 | 4,213 | $204K | |
| 2019 | 4,293 | $180K | |
| 2020 | 2,078 | $59K | |
| 2021 | 3,097 | $99K | |
| 2022 | 3,239 | $118K | |
| 2023 | 8,730 | $483K | |
| 2024incomplete | 5,893 | $293K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93458 | 27% | 1,032 | 774 | $394K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 1,673 | 1,267 | $210K |
| 93000 | 9.2% | 6,963 | 4,755 | $132K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 7.8% | 4,698 | 3,841 | $112K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 6.9% | 812 | 626 | $99K |
| 99242 | 6.5% | 2,841 | 1,615 | $93K | |
| 99251 | 5.0% | 2,549 | 2,034 | $72K | |
| 99252 | 4.9% | 1,818 | 1,209 | $70K | |
| 99070 | 4.2% | 2,852 | 1,898 | $60K | |
| 99221 | 3.6% | 2,219 | 1,900 | $52K | |
| 99241 | 3.4% | 1,940 | 1,664 | $48K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 1,218 | 902 | $16K |
12 more codes
| 59514 | <1% | 54 | $13K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 106 | $12K |
| 58558 | <1% | 29 | $9K | |
| 47562 | <1% | 31 | $9K | |
| 36252 | <1% | 25 | $7K | |
| 00731 | <1% | 63 | $6K | |
| 99253 | <1% | 235 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | $4K |
| 01920 | <1% | 18 | $3K | |
| 00811 | <1% | 45 | $3K | |
| 92928 | <1% | 29 | $3K | |
| 99201 | <1% | 130 | $2K |
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 officialCUMMINGS, MANUEL (MANAGING MEMBER)