Physician
Somers Pediatrics
Somers Pediatrics was paid $869K by Medicaid between Mar 2020 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoSOMERS PEDIATRICS
LONGVIEW, TX 75605
LONGVIEW, TX 75605
33aNPI1245733492assigned 03/14/2018
33bProvider typePediatric Infectious Diseases Physician
28Total paid$869K
24GClaims31,239
24DCodes billed42
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Pediatric Infectious Diseases Physician providers in Texas
Rank by total paid#4 of 10
Median peer was paid$272K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2020 | 583 | $12K | |
| 2021 | 5,469 | $138K | |
| 2022 | 8,879 | $240K | |
| 2023 | 9,089 | $242K | |
| 2024incomplete | 7,219 | $237K |
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 | 30% | 7,697 | 6,410 | $261K |
| 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 | 16% | 2,924 | 2,662 | $136K |
| 87428 | 9.4% | 2,023 | 1,867 | $82K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 613 | 584 | $48K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 599 | 589 | $47K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 598 | 588 | $46K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.0% | 3,455 | 3,125 | $43K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.6% | 3,632 | 1,561 | $40K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 4.3% | 120 | 112 | $38K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.6% | 855 | 770 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 311 | 305 | $25K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 1,562 | 712 | $19K |
30 more codes
| 92552 | 2.0% | 1,382 | $17K | |
| 99000 | 1.1% | 895 | $9K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 144 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 693 | $6K |
| 87807 | <1% | 373 | $4K | |
| 90461 | <1% | 576 | $3K | |
| 99460 | <1% | 25 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 101 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38 | $852.78 |
| 87581 | <1% | 18 | $442.14 | |
| 80053 | Comprehensive metabolic panel | <1% | 30 | $258.10 |
| 90473 | <1% | 16 | $117.60 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $79.00 |
| 86308 | <1% | 14 | $53.05 | |
| 90677 | <1% | 125 | $21.00 | |
| 90686 | <1% | 265 | $2.00 | |
| 94760 | <1% | 24 | $1.96 | |
| 99173 | 0% | 1,040 | $0.00 | |
| 90648 | 0% | 396 | $0.00 | |
| 90670 | 0% | 249 | $0.00 | |
| 90672 | 0% | 33 | $0.00 | |
| 90681 | 0% | 26 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90734 | 0% | 66 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90723 | 0% | 208 | $0.00 | |
| 96127 | 0% | 31 | $0.00 | |
| 90651 | 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 officialSOMERS, CYNTHIA (CEO)