Southern Pulmonary and Sleep, LLC

Southern Pulmonary and Sleep, LLC was paid $15K by Medicaid between Jan 2018 and Oct 2018, across 8 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 25% of everything it billed.

33Billing provider infoSOUTHERN PULMONARY AND SLEEP, LLC
COVINGTON, LA 70433

33aNPI1902077472assigned 03/12/2008

33bProvider typePulmonary Disease Physician

28Total paid$15K

24GClaims725

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Pulmonary Disease Physician providers in Louisiana

Rank by total paid#19 of 27

Median peer was paid$69K

This provider vs. median0.2×

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	725	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	25%	86	59	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	188	165	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	17%	198	69	$3K
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	13%	75	66	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	13%	93	31	$2K
94060		6.8%	57	53	$1K
94729		<1%	14	13	$130.03
94727		<1%	14	13	$102.98

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 officialKNOWER, MARK (PRESIDENT)