NP / PA
Sone Health Medical Group, PLLC
Sone Health Medical Group, PLLC was paid $725K by Medicaid between Jan 2020 and Oct 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoSONE HEALTH MEDICAL GROUP, PLLC
ENFIELD, CT 06082
ENFIELD, CT 06082
33aNPI1275176620assigned 10/17/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$725K
24GClaims18,935
24DCodes billed40
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Connecticut
Rank by total paid#17 of 108
Median peer was paid$32K
This provider vs. median22×
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 | 3,267 | $114K | |
| 2021 | 3,034 | $110K | |
| 2022 | 4,909 | $173K | |
| 2023 | 4,534 | $184K | |
| 2024incomplete | 3,191 | $142K |
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 | 57% | 4,326 | 3,731 | $410K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,881 | 1,669 | $114K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 432 | 417 | $47K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 365 | 352 | $41K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 840 | 796 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 147 | 142 | $14K |
| 96127 | 1.4% | 646 | 615 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,029 | 450 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 988 | 886 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 55 | 55 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 285 | 227 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 250 | 242 | $5K |
28 more codes
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 215 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $3K |
| 96161 | <1% | 135 | $3K | |
| 99442 | <1% | 76 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 900 | $2K |
| 87807 | <1% | 193 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 118 | $2K |
| 99173 | <1% | 246 | $2K | |
| 36416 | <1% | 468 | $1K | |
| 80305 | <1% | 165 | $995.49 | |
| 90674 | <1% | 34 | $161.40 | |
| 83655 | <1% | 17 | $156.00 | |
| 82962 | <1% | 55 | $72.67 | |
| 94760 | <1% | 29 | $41.72 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,779 | $0.00 |
| 3210F | 0% | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 85 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,744 | $0.00 |
| 1036F | 0% | 889 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 123 | $0.00 |
| 99000 | 0% | 60 | $0.00 | |
| 90686 | 0% | 79 | $0.00 | |
| 90677 | 0% | 30 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 112 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 43 | $0.00 |
| 3017F | 0% | 12 | $0.00 | |
| 90697 | 0% | 28 | $0.00 | |
| 90656 | 0% | 18 | $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 officialUBERTI, JAMES (OWNER)