Clinic
Southern Women's Health, PLLC
Southern Women's Health, PLLC was paid $6.00M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 59426, — 38% of everything it billed.
33Billing provider infoSOUTHERN WOMEN'S HEALTH, PLLC
HATTIESBURG, MS 39402
HATTIESBURG, MS 39402
33aNPI1548640642assigned 06/03/2015
33bProvider typeRural Health Clinic/Center
28Total paid$6.00M
24GClaims64,634
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Mississippi
Rank by total paid#10 of 152
Median peer was paid$567K
This provider vs. median11×
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 | 7,371 | $640K | |
| 2019 | 7,607 | $721K | |
| 2020 | 8,397 | $911K | |
| 2021 | 8,886 | $973K | |
| 2022 | 12,164 | $1.00M | |
| 2023 | 14,951 | $1.12M | |
| 2024incomplete | 5,258 | $633K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 38% | 19,464 | 10,266 | $2.31M | |
| 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 | 21% | 12,961 | 8,010 | $1.27M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 11,143 | 6,600 | $1.02M |
| 59425 | 15% | 8,183 | 5,323 | $924K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.5% | 2,346 | 1,327 | $211K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 1,383 | 792 | $131K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 798 | 434 | $68K |
| 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% | 482 | 226 | $31K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 211 | 160 | $21K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 171 | 152 | $20K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 59 | 12 | $2K |
| 90756 | <1% | 15 | 12 | $175.32 |
9 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,529 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 853 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,479 | $0.00 |
| 87210 | 0% | 74 | $0.00 | |
| 81025 | 0% | 30 | $0.00 | |
| 1036F | 0% | 1,289 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 213 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,503 | $0.00 |
| 3014F | 0% | 448 | $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 officialJOHNSON, HOLLEY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Womens Pavilion of South Mississippi, PLLC | Columbia, MS | $693K |
| Southern Women's Health, PLLC | Hattiesburg, MS | $470K |
| Southern Women's Health, PLLC | Ellisville, MS | $324K |
| Southern Women's Health, PLLC | Hattiesburg, MS | $182K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.