Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Providence › NPI 1093026700
Physician

Soria Galvarro Duran, Erick

Soria Galvarro Duran, Erick was paid $446K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoSORIA GALVARRO DURAN, ERICK
PROVIDENCE, RI 02909
33aNPI1093026700assigned 06/28/2010
28Total paid$446K
24GClaims9,651
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Rhode Island

Rank by total paid#27 of 386
Median peer was paid$15K
This provider vs. median29×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,502$67K
2019287$14K
20202,045$87K
20211,410$58K
20221,292$59K
20231,686$83K
2024incomplete1,429$78K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47% 4,838 4,295 $208K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17% 2,677 2,333 $76K
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 15% 1,109 1,044 $67K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 9.4% 235 191 $42K
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 9.3% 230 196 $41K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 47 47 $3K
99386 <1% 25 25 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 275 272 $2K
99442 <1% 50 46 $1K
99051 <1% 35 33 $825.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 32 30 $661.75
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 32 16 $324.00
2 more codes
83036 Hemoglobin; glycosylated (A1C) <1% 45 $299.96
82962 <1% 21 $40.89

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.