Gulfsouth Pulmonology, LLC

Gulfsouth Pulmonology, LLC was paid $93K by Medicaid between Oct 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoGULFSOUTH PULMONOLOGY, LLC
COVINGTON, LA 70433

33aNPI1912404930assigned 04/06/2018

33bProvider typePulmonary Disease Physician

28Total paid$93K

24GClaims3,403

24DCodes billed17

24AFirst – last monthOct 2018 – Dec 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Louisiana

Rank by total paid#12 of 27

Median peer was paid$69K

This provider vs. median1.3×

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	163	$4K
2019	856	$15K
2020	753	$17K
2021	477	$12K
2022	416	$19K
2023	406	$15K
2024incomplete	332	$11K

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	50%	1,225	1,086	$46K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	546	504	$14K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.0%	246	74	$7K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	5.3%	85	79	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.4%	89	74	$4K
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	4.1%	105	91	$4K
94729		3.6%	322	307	$3K
94726		3.5%	304	292	$3K
94060		3.5%	284	272	$3K
99205	Prolong outpt/office vis	1.2%	13	13	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	37	14	$519.96
99223	Prolong inpt eval add15 m	<1%	24	16	$502.16

5 more codes

90688		<1%	33	$385.28
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	30	$326.09
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$248.30
99406		<1%	33	$179.60
94010		<1%	15	$8.49

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 officialOGDEN, BRANDI (BILLING / CREDENTIALING MANAGER)

Parent organizationGULFSOUTH PULMONARY, LLC