Physician
Southern Medical Associates
Southern Medical Associates was paid $1.03M by Medicaid between Jan 2018 and Mar 2021, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoSOUTHERN MEDICAL ASSOCIATES
GONZALES, LA 70737
GONZALES, LA 70737
33aNPI1861646739assigned 11/05/2008
33bProvider typeFamily Medicine Physician
28Total paid$1.03M
24GClaims138,319
24DCodes billed45
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Family Medicine Physician providers in Louisiana
Rank by total paid#53 of 417
Median peer was paid$63K
This provider vs. median16×
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 | 43,586 | $330K | |
| 2019 | 49,022 | $350K | |
| 2020 | 40,456 | $298K | |
| 2021 | 5,255 | $51K |
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 | 47% | 14,033 | 12,104 | $482K |
| 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 | 16% | 3,338 | 2,927 | $160K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 13% | 2,329 | 2,013 | $134K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 9.8% | 1,924 | 1,666 | $101K |
| 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 | 7.5% | 985 | 872 | $77K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 182 | 173 | $13K |
| 99385 | 1.1% | 185 | 161 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 379 | 346 | $9K |
| 99442 | <1% | 594 | 380 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 676 | 608 | $8K |
| 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% | 127 | 115 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 104 | 97 | $7K |
33 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 281 | $4K |
| 99441 | <1% | 317 | $2K | |
| 82962 | <1% | 972 | $2K | |
| 90756 | <1% | 199 | $2K | |
| 99386 | <1% | 13 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $487.59 |
| 99421 | <1% | 147 | $480.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 96 | $308.53 |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $18.93 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 41 | $18.48 |
| 3077F | <1% | 5,485 | $5.00 | |
| 3080F | <1% | 6,202 | $5.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14,910 | $0.00 |
| 1160F | 0% | 18,795 | $0.00 | |
| 3078F | 0% | 6,141 | $0.00 | |
| 1159F | 0% | 17,723 | $0.00 | |
| 90734 | 0% | 45 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 274 | $0.00 |
| 90633 | 0% | 43 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 28 | $0.00 |
| 1126F | 0% | 9,062 | $0.00 | |
| 1125F | 0% | 9,396 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,099 | $0.00 |
| 3079F | 0% | 4,614 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 2,651 | $0.00 |
| 3075F | 0% | 2,669 | $0.00 | |
| 3074F | 0% | 9,085 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 85 | $0.00 |
| 99422 | 0% | 39 | $0.00 | |
| 1111F | 0% | 894 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 16 | $0.00 |
| 90651 | 0% | 82 | $0.00 | |
| 1170F | 0% | 33 | $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 officialGBOLOO, GERTRUDE (OWNER)