Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Plano › NPI 1841436078
Lab

Southwest Surgery and Wound Care Physicians

Southwest Surgery and Wound Care Physicians was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 30% of everything it billed.

33Billing provider infoSOUTHWEST SURGERY AND WOUND CARE PHYSICIANS
PLANO, TX 75023
33aNPI1841436078assigned 12/17/2008
33bProvider typePhysiological Laboratory
28Total paid$1.26M
24GClaims32,951
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Physiological Laboratory providers in Texas

Rank by total paid#5 of 38
Median peer was paid$48K
This provider vs. median26×

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
2018414$1K
2019693$4K
20201,852$53K
20218,908$358K
20227,128$285K
20237,424$323K
2024incomplete6,532$238K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 30% 3,278 1,428 $374K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19% 4,831 4,719 $239K
11750 15% 1,813 1,682 $195K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11% 6,548 5,970 $141K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.7% 4,049 3,716 $110K
73620 6.2% 4,039 2,122 $79K
11721 3.2% 4,468 4,334 $40K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2.6% 354 311 $32K
87481 1.6% 325 311 $20K
11765 <1% 201 163 $6K
87641 <1% 325 311 $5K
87653 <1% 325 311 $5K
15 more codes
87500 <1% 325 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 325 $4K
11730 <1% 24 $2K
93923 <1% 834 $1K
17110 <1% 13 $1K
11755 <1% 62 $843.41
87640 <1% 325 $656.14
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 17 $538.70
95923 <1% 28 $444.03
99304 <1% 94 $403.65
99342 <1% 41 $140.06
93922 <1% 161 $85.68
20550 <1% 21 $44.40
99497 <1% 17 $16.44
99024 0% 108 $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 officialMOBARAK, REZA (OWNER)