Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Southern Internal Medicine Group, INC.

Southern Internal Medicine Group, INC. was paid $612K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 65% of everything it billed.

33Billing provider infoSOUTHERN INTERNAL MEDICINE GROUP, INC.
PONCE, PR 00717
33aNPI1780633651assigned 05/09/2006
28Total paid$612K
24GClaims15,522
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#23 of 518
Median peer was paid$5K
This provider vs. median123×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20183,002$57K
20192,574$43K
20201,804$45K
20211,087$50K
2022337$15K
20232,105$123K
2024incomplete4,613$279K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 65% 11,100 1,362 $396K
99238 Hospital discharge day management, 30 minutes or less 11% 1,828 1,261 $67K
99243 9.3% 1,566 1,435 $57K
99223 Prolong inpt eval add15 m 7.9% 413 245 $48K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 6.3% 561 228 $38K
99222 Initial hospital care, per day, moderate complexity <1% 54 46 $5K

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 officialBENITEZ LORENZO, PEDRO (PRESIDENT)