Physician
Soto, Sandra
Soto, Sandra was paid $20K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 95% of everything it billed.
33Billing provider infoSOTO, SANDRA
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1124115001assigned 10/10/2006
33bProvider typeGeneral Practice Physician
28Total paid$20K
24GClaims12,217
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#341 of 1,195
Median peer was paid$2K
This provider vs. median9.7×
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 | 1,448 | $91.48 | |
| 2019 | 1,447 | $34.50 | |
| 2020 | 1,484 | $443.67 | |
| 2021 | 2,141 | $6K | |
| 2022 | 1,943 | $8K | |
| 2023 | 2,274 | $5K | |
| 2024incomplete | 1,480 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 95% | 3,744 | 3,399 | $19K |
| 99442 | 2.1% | 397 | 360 | $424.09 | |
| 99441 | 1.8% | 2,979 | 2,735 | $357.87 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 4,558 | 3,875 | $97.90 |
| 99386 | <1% | 244 | 216 | $28.08 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 54 | 51 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 17 | 16 | $0.00 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | 0% | 14 | 14 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 39 | 37 | $0.00 |
| 99385 | 0% | 156 | 137 | $0.00 | |
| 99451 | 0% | 15 | 15 | $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.