South West Internal Medicine LLC

South West Internal Medicine LLC was paid $69K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoSOUTH WEST INTERNAL MEDICINE LLC
COQUILLE, OR 97423

33aNPI1497203194assigned 09/12/2016

33bProvider typeInternal Medicine Physician

28Total paid$69K

24GClaims5,430

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Oregon

Rank by total paid#34 of 96

Median peer was paid$14K

This provider vs. median5.0×

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	450	$4K
2019	864	$20K
2020	871	$18K
2021	941	$18K
2022	909	$4K
2023	642	$3K
2024incomplete	753	$2K

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	87%	4,826	3,670	$60K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	446	323	$8K
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%	76	72	$586.21
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	53	26	$373.05
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%	13	12	$76.68
99205	Prolong outpt/office vis	<1%	16	13	$16.46

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 officialCRANE, DOUGLAS (OWNER)