Physician
Southern Ohio Surgical Associates, INC.
Southern Ohio Surgical Associates, INC. was paid $426K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoSOUTHERN OHIO SURGICAL ASSOCIATES, INC.
PORTSMOUTH, OH 45662
PORTSMOUTH, OH 45662
33aNPI1528050945assigned 08/22/2005
33bProvider typeSurgery Physician
28Total paid$426K
24GClaims13,240
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in Ohio
Rank by total paid#12 of 82
Median peer was paid$14K
This provider vs. median30×
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 | 2,811 | $75K | |
| 2019 | 2,528 | $72K | |
| 2020 | 1,982 | $58K | |
| 2021 | 1,729 | $56K | |
| 2022 | 1,699 | $57K | |
| 2023 | 1,450 | $57K | |
| 2024incomplete | 1,041 | $51K |
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 | 32% | 3,976 | 3,567 | $138K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 1,271 | 1,149 | $69K |
| 93970 | 14% | 1,563 | 1,443 | $61K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 621 | 567 | $46K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.3% | 1,581 | 708 | $31K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 1,035 | 950 | $28K |
| 99254 | 3.5% | 225 | 205 | $15K | |
| 93880 | 1.8% | 240 | 218 | $8K | |
| 93971 | 1.6% | 271 | 251 | $7K | |
| 93925 | 1.2% | 102 | 94 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 193 | 102 | $5K |
| 99152 | <1% | 1,021 | 804 | $3K |
8 more codes
| 99255 | <1% | 29 | $3K | |
| 99253 | <1% | 52 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 289 | $1K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | $1K |
| 99153 | Mod sedat endo service >5yrs | <1% | 202 | $701.16 |
| 76937 | <1% | 151 | $523.49 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $381.70 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 390 | $343.85 |
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 officialKHOURY, THOMAS (PRESIDENT)