Physician
Gulfsouth Hospital Medicine LLC
Gulfsouth Hospital Medicine LLC was paid $1.03M by Medicaid between Sep 2018 and Nov 2024, across 15 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 44% of everything it billed.
33Billing provider infoGULFSOUTH HOSPITAL MEDICINE LLC
COVINGTON, LA 70433
COVINGTON, LA 70433
33aNPI1871097766assigned 03/23/2018
33bProvider typeInternal Medicine Physician
28Total paid$1.03M
24GClaims44,634
24DCodes billed15
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Louisiana
Rank by total paid#23 of 290
Median peer was paid$27K
This provider vs. median39×
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 | 1,900 | $24K | |
| 2019 | 6,450 | $128K | |
| 2020 | 7,309 | $162K | |
| 2021 | 8,121 | $214K | |
| 2022 | 8,697 | $208K | |
| 2023 | 10,152 | $257K | |
| 2024incomplete | 2,005 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 44% | 26,193 | 11,900 | $454K |
| 99239 | Hospital discharge day management, more than 30 minutes | 15% | 5,175 | 4,505 | $155K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 4,999 | 2,757 | $152K |
| 99222 | Initial hospital care, per day, moderate complexity | 12% | 3,928 | 3,289 | $124K |
| 99223 | Prolong inpt eval add15 m | 10% | 2,073 | 1,722 | $103K |
| 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 | 3.0% | 945 | 773 | $31K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 842 | 212 | $6K |
| 99220 | <1% | 50 | 42 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 41 | 36 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 61 | 59 | $2K |
| 99225 | <1% | 53 | 37 | $875.75 | |
| 99219 | <1% | 14 | 13 | $837.52 |
3 more codes
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 officialSIMON, JOHN (MD/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Adams County Ambulance & E M S | Quincy, IL | $6.48M |
| Northlake Nephrology INC | Covington, LA | $499K |
| Nni Covington LLC | Covington, LA | $74K |
| SLR Holdings LLC | Covington, LA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.