Clinic
Sop Medical PC
Sop Medical PC was paid $399K by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSOP MEDICAL PC
CORONA, NY 11368
CORONA, NY 11368
33aNPI1083805741assigned 08/07/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$399K
24GClaims201,505
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New York
Rank by total paid#82 of 242
Median peer was paid$172K
This provider vs. median2.3×
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 | 17,782 | $128K | |
| 2019 | 32,547 | $113K | |
| 2020 | 27,066 | $50K | |
| 2021 | 25,664 | $41K | |
| 2022 | 23,177 | $13K | |
| 2023 | 45,727 | $41K | |
| 2024incomplete | 29,542 | $13K |
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 | 34% | 15,256 | 13,899 | $137K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 11% | 2,546 | 2,543 | $43K |
| 90686 | 11% | 2,403 | 2,400 | $42K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.6% | 2,289 | 2,287 | $34K |
| 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 | 8.5% | 1,564 | 1,418 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 4,222 | 3,988 | $20K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 4.7% | 2,562 | 2,475 | $19K |
| 99401 | 2.5% | 5,233 | 5,159 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 3,682 | 3,576 | $10K |
| 90746 | 2.1% | 140 | 140 | $9K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.4% | 6,989 | 6,386 | $6K |
| 93000 | 1.3% | 1,182 | 1,170 | $5K |
79 more codes
| 90715 | 1.1% | 178 | $4K | |
| 99441 | <1% | 432 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 9,157 | $3K |
| 86769 | <1% | 270 | $3K | |
| 3078F | <1% | 4,580 | $3K | |
| 3074F | <1% | 4,216 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,617 | $2K |
| 99442 | <1% | 174 | $2K | |
| 81002 | <1% | 6,513 | $2K | |
| H0001 | Alcohol and/or drug assessment | <1% | 7,157 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 145 | $791.63 |
| 99397 | <1% | 24 | $739.10 | |
| 0013A | <1% | 12 | $494.40 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,654 | $488.00 |
| 99443 | <1% | 50 | $423.82 | |
| 81025 | <1% | 446 | $331.28 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,936 | $328.84 |
| 1126F | <1% | 1,316 | $305.00 | |
| 90658 | <1% | 36 | $299.19 | |
| A4930 | Gloves, sterile, per pair | <1% | 3,496 | $256.02 |
| 1159F | <1% | 2,390 | $225.00 | |
| 3079F | <1% | 240 | $187.54 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 6,021 | $187.53 |
| 99385 | <1% | 31 | $173.74 | |
| 80061 | Lipid panel | <1% | 1,832 | $134.60 |
| 1160F | <1% | 1,822 | $115.00 | |
| 3075F | <1% | 369 | $110.02 | |
| 1170F | <1% | 412 | $98.00 | |
| 3077F | <1% | 86 | $90.00 | |
| 82962 | <1% | 1,350 | $72.99 | |
| 90662 | <1% | 12 | $61.82 | |
| 87110 | <1% | 866 | $52.57 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 172 | $39.74 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 1,026 | $36.03 |
| 96127 | <1% | 7,475 | $23.86 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 46 | $20.56 |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | <1% | 139 | $20.00 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 379 | $10.00 |
| 99000 | <1% | 3,326 | $8.02 | |
| G0010 | Administration of hepatitis b vaccine | <1% | 91 | $5.00 |
| G8432 | Depression screening not documented, reason not given | <1% | 1,417 | $3.50 |
| 82270 | <1% | 342 | $3.45 | |
| 97802 | <1% | 1,376 | $0.70 | |
| 3008F | <1% | 11,829 | $0.69 | |
| 3044F | <1% | 1,712 | $0.02 | |
| 3049F | <1% | 14 | $0.01 | |
| 3725F | 0% | 5,433 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 892 | $0.00 |
| 3016F | 0% | 3,342 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 127 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 4,616 | $0.00 |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 1,237 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,003 | $0.00 |
| 1033F | 0% | 362 | $0.00 | |
| 99499 | 0% | 167 | $0.00 | |
| 1158F | 0% | 124 | $0.00 | |
| 3015F | 0% | 252 | $0.00 | |
| 0521F | 0% | 26 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,165 | $0.00 |
| 2010F | 0% | 6,393 | $0.00 | |
| 1036F | 0% | 3,485 | $0.00 | |
| 1220F | 0% | 4,193 | $0.00 | |
| 3048F | 0% | 169 | $0.00 | |
| 3011F | 0% | 621 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,658 | $0.00 |
| 3351F | 0% | 2,785 | $0.00 | |
| 3754F | 0% | 1,390 | $0.00 | |
| 3017F | 0% | 133 | $0.00 | |
| 1000F | 0% | 3,355 | $0.00 | |
| 4037F | 0% | 721 | $0.00 | |
| 1030F | 0% | 101 | $0.00 | |
| 3060F | 0% | 38 | $0.00 | |
| 1157F | 0% | 31 | $0.00 | |
| 3014F | 0% | 170 | $0.00 | |
| 3061F | 0% | 17 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 170 | $0.00 |
| 1123F | 0% | 22 | $0.00 | |
| 1125F | 0% | 42 | $0.00 | |
| 0513F | 0% | 13 | $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 officialFLORIMON DE LA ROSA, HECTOR (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| National Pediatric MD PC | Corona, NY | $1.64M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.