Southside Physician Network LLC

Southside Physician Network LLC was paid $1.30M by Medicaid between Jan 2018 and Dec 2019, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoSOUTHSIDE PHYSICIAN NETWORK LLC
COLONIAL HEIGHTS, VA 23834

33aNPI1811146194assigned 09/11/2008

33bProvider typeSurgery Physician

28Total paid$1.30M

24GClaims39,406

24DCodes billed52

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Surgery Physician providers in Virginia

Rank by total paid#2 of 50

Median peer was paid$3K

This provider vs. median447×

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	13,443	$315K
2019	25,963	$982K

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	36%	9,777	8,019	$464K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	10,072	8,221	$341K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	12%	8,106	1,560	$159K
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	6.8%	1,003	898	$88K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.3%	1,283	1,118	$69K
99222	Initial hospital care, per day, moderate complexity	2.2%	675	513	$29K
59426		1.5%	35	35	$20K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.3%	858	182	$17K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.2%	220	210	$16K
76830	Ultrasound, transvaginal	<1%	193	158	$12K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	196	157	$12K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	235	191	$11K

40 more codes

99223	Prolong inpt eval add15 m	<1%	222	$8K
59425		<1%	22	$7K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	1,909	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	186	$5K
51725		<1%	203	$4K
81025		<1%	619	$4K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	272	$4K
90688		<1%	308	$3K
99385		<1%	30	$3K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	25	$2K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	40	$2K
11755		<1%	27	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	221	$1K
95117		<1%	162	$1K
11721		<1%	55	$1K
81003		<1%	673	$1K
82947		<1%	354	$916.95
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	52	$800.71
99238	Hospital discharge day management, 30 minutes or less	<1%	18	$764.00
92557		<1%	29	$600.45
69210		<1%	14	$497.35
92567		<1%	67	$493.59
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	116	$456.14
74420		<1%	46	$383.53
87210		<1%	97	$376.10
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	30	$285.64
99406		<1%	58	$270.84
99308	Subsequent nursing facility care, per day, straightforward	<1%	51	$261.03
93971		<1%	30	$258.05
99304		<1%	23	$201.15
93923		<1%	34	$96.34
83036	Hemoglobin; glycosylated (A1C)	<1%	12	$81.68
96127		<1%	46	$22.04
1159F		0%	200	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	41	$0.00
G8404	Lower extremity neurological exam performed and documented	0%	17	$0.00
3008F		0%	86	$0.00
1036F		0%	209	$0.00
G0008	Administration of influenza virus vaccine	0%	13	$0.00
2000F		0%	136	$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 officialAUSTIN, JOANNE (DIRECTOR)