Physician
Soma Medical Center, P. a #4
Soma Medical Center, P. a #4 was paid $12.30M by Medicaid between Dec 2018 and Dec 2024, across 93 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoSOMA MEDICAL CENTER, P. A #4
LAKE WORTH, FL 33460
LAKE WORTH, FL 33460
33aNPI1184920613assigned 02/01/2011
33bProvider typePediatrics Physician
28Total paid$12.30M
24GClaims338,845
24DCodes billed93
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#15 of 971
Median peer was paid$238K
This provider vs. median52×
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 | 3,034 | $78K | |
| 2019 | 40,809 | $1.37M | |
| 2020 | 54,515 | $1.80M | |
| 2021 | 62,720 | $2.03M | |
| 2022 | 66,857 | $2.71M | |
| 2023 | 70,921 | $3.06M | |
| 2024incomplete | 39,989 | $1.25M |
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 | 30% | 32,895 | 28,454 | $3.73M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 37,483 | 32,976 | $2.92M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 8,103 | 7,911 | $1.14M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.3% | 16,811 | 15,564 | $898K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 6,673 | 6,508 | $860K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 5,103 | 4,781 | $762K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 4,000 | 3,902 | $554K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 23,913 | 21,214 | $509K |
| 99381 | 1.3% | 1,201 | 1,125 | $162K | |
| 97802 | <1% | 14,446 | 12,702 | $101K | |
| 97803 | <1% | 11,344 | 10,916 | $89K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,426 | 2,327 | $66K |
81 more codes
| 90461 | <1% | 6,887 | $54K | |
| 99382 | <1% | 233 | $42K | |
| 99383 | <1% | 231 | $40K | |
| H0049 | Alcohol and/or drug screening | <1% | 4,533 | $39K |
| 96160 | <1% | 7,507 | $35K | |
| 92558 | <1% | 9,448 | $34K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,092 | $28K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 214 | $27K |
| 99051 | <1% | 4,943 | $26K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,343 | $22K |
| 99401 | <1% | 2,926 | $22K | |
| 99384 | <1% | 116 | $20K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,831 | $15K |
| 69210 | <1% | 1,091 | $14K | |
| 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 | <1% | 2,311 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,515 | $11K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,246 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 497 | $9K |
| 92567 | <1% | 1,374 | $7K | |
| 94664 | <1% | 1,376 | $6K | |
| 83655 | <1% | 904 | $4K | |
| 69209 | <1% | 520 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 729 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $3K |
| 99188 | <1% | 226 | $2K | |
| 96127 | <1% | 4,591 | $2K | |
| 0002A | <1% | 119 | $1K | |
| 99050 | <1% | 280 | $1K | |
| 0001A | <1% | 110 | $1K | |
| 0072A | <1% | 76 | $960.02 | |
| 90648 | <1% | 4,217 | $916.53 | |
| 0071A | <1% | 61 | $880.00 | |
| 85018 | <1% | 889 | $829.70 | |
| 90686 | <1% | 9,712 | $814.22 | |
| 90619 | <1% | 460 | $590.19 | |
| 96161 | <1% | 1,020 | $521.82 | |
| 90716 | <1% | 2,449 | $508.53 | |
| 90674 | <1% | 250 | $490.92 | |
| 90707 | <1% | 2,350 | $487.30 | |
| 90744 | <1% | 2,635 | $441.07 | |
| 90670 | <1% | 3,417 | $430.35 | |
| 90700 | <1% | 5,395 | $316.32 | |
| 90715 | <1% | 781 | $289.81 | |
| 99402 | <1% | 182 | $267.34 | |
| 90680 | <1% | 3,398 | $238.58 | |
| 90713 | <1% | 4,138 | $216.80 | |
| 99173 | <1% | 11,752 | $183.83 | |
| 96380 | <1% | 12 | $171.91 | |
| 1111F | <1% | 2,885 | $129.60 | |
| 90633 | <1% | 2,847 | $126.30 | |
| 87807 | <1% | 16 | $123.84 | |
| 90677 | <1% | 799 | $116.88 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 283 | $114.66 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 15,712 | $89.43 |
| 90698 | <1% | 461 | $84.24 | |
| 90651 | <1% | 2,011 | $75.15 | |
| 99354 | <1% | 309 | $60.49 | |
| 90473 | <1% | 51 | $17.76 | |
| 36416 | <1% | 877 | $10.80 | |
| 91307 | <1% | 140 | $0.04 | |
| 90656 | <1% | 1,298 | $0.04 | |
| 90671 | 0% | 517 | $0.00 | |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 175 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 677 | $0.00 |
| 99177 | 0% | 2,105 | $0.00 | |
| 90734 | 0% | 951 | $0.00 | |
| 91300 | 0% | 181 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 440 | $0.00 |
| 90710 | 0% | 76 | $0.00 | |
| 90685 | 0% | 279 | $0.00 | |
| 98960 | 0% | 14 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 31 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 804 | $0.00 |
| 90620 | 0% | 901 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,260 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 10,903 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,037 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 820 | $0.00 |
| 90723 | 0% | 159 | $0.00 | |
| 90647 | 0% | 12 | $0.00 | |
| 90381 | 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 officialGADEA LOPEZ, MERCEDES (PEDIATRICIAN)
Parent organizationSOMA MEDICAL CENTER