Southside Medical Management INC

Southside Medical Management INC was paid $561K by Medicaid between Jan 2018 and Aug 2020, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoSOUTHSIDE MEDICAL MANAGEMENT INC
SOUTH HILL, VA 23970

33aNPI1770909921assigned 03/12/2014

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$561K

24GClaims17,515

24DCodes billed32

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Virginia

Rank by total paid#4 of 32

Median peer was paid$18K

This provider vs. median31×

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	2,429	$72K
2019	9,459	$296K
2020	5,627	$193K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	59%	5,850	5,328	$331K
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	23%	1,740	1,545	$132K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	5.3%	1,196	1,010	$30K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	5.0%	1,968	1,856	$28K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.6%	110	108	$9K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	89	85	$7K
81003		<1%	1,367	1,265	$3K
36415	Collection of venous blood by venipuncture	<1%	1,291	1,169	$3K
90686		<1%	271	261	$3K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	30	29	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	63	61	$2K
87807		<1%	120	111	$2K

20 more codes

99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	18	$2K
90670		<1%	13	$703.01
90651		<1%	20	$665.66
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	41	$659.18
99174		<1%	209	$597.72
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	180	$590.36
96127		<1%	107	$537.51
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	55	$457.49
90647		<1%	27	$320.09
99177		<1%	85	$315.39
99173		<1%	116	$287.49
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	105	$282.03
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	13	$231.66
90715		<1%	15	$229.50
99000		<1%	1,522	$159.85
85018		<1%	54	$149.04
94760		<1%	706	$44.78
90472	Immunization administration, each additional vaccine (list separately)	<1%	14	$10.30
90461		0%	17	$0.00
1101F		0%	103	$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 officialPOWERS, GRAHANM (PARTNER)

Parent organizationSOUTHSIDE MEDICAL MANAGEMENT INC