Physician
Southwest Mississippi Regional Medical Center
Southwest Mississippi Regional Medical Center was paid $468K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoSOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
MCCOMB, MS 39648
MCCOMB, MS 39648
33aNPI1467401331assigned 05/09/2006
33bProvider typeGastroenterology Physician
28Total paid$468K
24GClaims20,535
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Mississippi
Rank by total paid#1 of 12
Median peer was paid$83K
This provider vs. median5.6×
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.
Entity ProliferationAuthorized official ROWLEY, CHARLA controls 20+ related entities in our dataset. Read more
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 | 5,689 | $84K | |
| 2019 | 7,570 | $123K | |
| 2020 | 2,693 | $66K | |
| 2021 | 1,664 | $69K | |
| 2022 | 1,837 | $71K | |
| 2023 | 700 | $35K | |
| 2024incomplete | 382 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 3,493 | 3,302 | $156K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 26% | 1,925 | 1,818 | $120K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,527 | 2,421 | $70K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 11% | 581 | 549 | $50K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 8.7% | 408 | 395 | $41K |
| 43235 | 2.8% | 275 | 266 | $13K | |
| 43248 | 2.2% | 198 | 181 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,169 | 2,058 | $3K |
| 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% | 32 | 31 | $2K |
| 46221 | <1% | 13 | 12 | $1K | |
| 99490 | Ccm add 20min | <1% | 99 | 96 | $826.24 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $751.39 |
17 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $431.50 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 959 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,256 | $0.00 |
| 4040F | 0% | 1,356 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 455 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 193 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 450 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 200 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 70 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 99 | $0.00 |
| 1124F | 0% | 104 | $0.00 | |
| 4004F | 0% | 40 | $0.00 | |
| 3017F | 0% | 1,130 | $0.00 | |
| 1123F | 0% | 875 | $0.00 | |
| 1036F | 0% | 1,110 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 134 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 360 | $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 officialROWLEY, CHARLA (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.