Clinic
Sotomayor Medical Practice, P.C.
Sotomayor Medical Practice, P.C. was paid $204K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoSOTOMAYOR MEDICAL PRACTICE, P.C.
READING, PA 19601
READING, PA 19601
33aNPI1285783597assigned 01/09/2007
33bProvider typeClinic/Center
28Total paid$204K
24GClaims6,026
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#107 of 176
Median peer was paid$441K
This provider vs. median0.5×
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 | 553 | $5K | |
| 2019 | 1,033 | $8K | |
| 2020 | 491 | $23K | |
| 2021 | 1,688 | $80K | |
| 2022 | 469 | $20K | |
| 2023 | 489 | $17K | |
| 2024incomplete | 1,303 | $50K |
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 | 64% | 4,073 | 3,824 | $130K |
| 99491 | Ccm add 20min | 15% | 453 | 451 | $31K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 587 | 568 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 460 | 443 | $14K |
| 99050 | <1% | 15 | 15 | $2K | |
| 99490 | Ccm add 20min | <1% | 398 | 394 | $553.44 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 12 | 12 | $155.20 |
| G0008 | Administration of influenza virus vaccine | 0% | 28 | 28 | $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 officialRODRIGUEZ-SOTOMAYOR, MATILDE (OWNER)