Southwest Mississippi Regional Medical Center
Southwest Mississippi Regional Medical Center was paid $219K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
MCCOMB, MS 39648
Next to other Pulmonary Disease Physician providers in Mississippi
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,729 | $48K | |
| 2019 | 3,668 | $41K | |
| 2020 | 1,409 | $30K | |
| 2021 | 1,566 | $38K | |
| 2022 | 1,046 | $29K | |
| 2023 | 574 | $17K | |
| 2024incomplete | 544 | $15K |
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 | 59% | 4,845 | 4,505 | $129K |
| 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 | 21% | 1,168 | 1,051 | $45K |
| 94375 | 8.2% | 1,541 | 1,444 | $18K | |
| 94729 | 3.0% | 308 | 295 | $6K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 102 | 102 | $5K |
| 94727 | 2.3% | 308 | 295 | $5K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.0% | 65 | 24 | $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 | <1% | 28 | 27 | $2K |
| 99490 | Ccm add 20min | <1% | 279 | 275 | $1K |
| 95811 | <1% | 13 | 13 | $747.39 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 30 | 29 | $716.54 |
| 94060 | <1% | 70 | 68 | $494.90 |
11 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $229.66 |
| 99487 | Ccm add 20min | <1% | 12 | $81.55 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 32 | $80.61 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 14 | $11.32 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 569 | $0.00 |
| 4040F | 0% | 1,178 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,173 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 572 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 329 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 703 | $0.00 |
| 1123F | 0% | 1,158 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.