Clinic
Soma Medical Center PA 6
Soma Medical Center PA 6 was paid $1.43M by Medicaid between Dec 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoSOMA MEDICAL CENTER PA 6
PALM SPRINGS, FL 33461
PALM SPRINGS, FL 33461
33aNPI1295145704assigned 05/06/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$1.43M
24GClaims115,283
24DCodes billed92
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Florida
Rank by total paid#20 of 215
Median peer was paid$25K
This provider vs. median57×
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 | 275 | $9K | |
| 2019 | 5,203 | $147K | |
| 2020 | 9,212 | $207K | |
| 2021 | 13,398 | $258K | |
| 2022 | 26,760 | $324K | |
| 2023 | 40,377 | $367K | |
| 2024incomplete | 20,058 | $117K |
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 | 49% | 28,060 | 21,998 | $699K |
| 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 | 13% | 5,283 | 4,668 | $185K |
| 99385 | 11% | 2,426 | 2,328 | $157K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.2% | 2,301 | 2,191 | $118K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.6% | 1,790 | 1,714 | $95K |
| 99386 | 5.5% | 1,006 | 962 | $78K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 1,266 | 1,178 | $28K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 54 | 50 | $11K |
| 93000 | <1% | 2,271 | 2,154 | $10K | |
| 94010 | <1% | 922 | 867 | $10K | |
| 93922 | <1% | 97 | 92 | $7K | |
| 99397 | <1% | 98 | 96 | $4K |
80 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 665 | $4K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 303 | $3K |
| H0049 | Alcohol and/or drug screening | <1% | 635 | $3K |
| 94060 | <1% | 159 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 543 | $3K |
| 99051 | <1% | 346 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 255 | $1K |
| 99401 | <1% | 134 | $964.31 | |
| 3074F | <1% | 9,575 | $801.54 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 3,246 | $724.68 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $713.41 |
| 90756 | <1% | 183 | $681.74 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 42 | $575.02 |
| 92250 | <1% | 224 | $536.81 | |
| 92100 | <1% | 87 | $525.26 | |
| 3075F | <1% | 2,808 | $481.80 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $401.81 |
| 90688 | <1% | 45 | $382.80 | |
| 1111F | <1% | 1,874 | $339.89 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | $317.76 |
| 99496 | <1% | 37 | $283.20 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 37 | $270.59 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 570 | $224.65 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $178.56 |
| 3008F | <1% | 8,919 | $127.53 | |
| 3044F | <1% | 587 | $100.00 | |
| 3061F | <1% | 141 | $99.19 | |
| 82962 | <1% | 80 | $93.55 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 13 | $93.00 |
| 99177 | <1% | 409 | $85.02 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 308 | $72.61 |
| 1159F | <1% | 3,469 | $56.68 | |
| 4551F | <1% | 858 | $14.17 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 374 | $14.17 |
| 1126F | <1% | 1,205 | $14.17 | |
| 3049F | <1% | 58 | $14.17 | |
| 96127 | <1% | 552 | $9.88 | |
| 3078F | <1% | 8,449 | $0.01 | |
| 1158F | 0% | 158 | $0.00 | |
| 3015F | 0% | 287 | $0.00 | |
| 1160F | 0% | 3,419 | $0.00 | |
| 2028F | 0% | 126 | $0.00 | |
| 4120F | 0% | 129 | $0.00 | |
| 4013F | 0% | 457 | $0.00 | |
| 96160 | 0% | 653 | $0.00 | |
| 3051F | 0% | 29 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 494 | $0.00 |
| 0518F | 0% | 241 | $0.00 | |
| 3288F | 0% | 278 | $0.00 | |
| 0521F | 0% | 259 | $0.00 | |
| 3050F | 0% | 89 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 19 | $0.00 |
| 4025F | 0% | 23 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 22 | $0.00 |
| 99483 | Prolong outpt/office vis | 0% | 12 | $0.00 |
| 1000F | 0% | 1,293 | $0.00 | |
| 1170F | 0% | 453 | $0.00 | |
| 2010F | 0% | 2,249 | $0.00 | |
| 3079F | 0% | 4,455 | $0.00 | |
| 3011F | 0% | 433 | $0.00 | |
| 2001F | 0% | 2,422 | $0.00 | |
| 4008F | 0% | 15 | $0.00 | |
| 1157F | 0% | 267 | $0.00 | |
| 4010F | 0% | 250 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 569 | $0.00 |
| 3017F | 0% | 325 | $0.00 | |
| 3014F | 0% | 250 | $0.00 | |
| 2000F | 0% | 1,868 | $0.00 | |
| 4086F | 0% | 43 | $0.00 | |
| 1036F | 0% | 95 | $0.00 | |
| 1125F | 0% | 498 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 22 | $0.00 |
| 3048F | 0% | 85 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 29 | $0.00 |
| 99495 | 0% | 16 | $0.00 | |
| 1034F | 0% | 14 | $0.00 | |
| 3072F | 0% | 14 | $0.00 | |
| 2023F | 0% | 39 | $0.00 | |
| 91301 | 0% | 14 | $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 officialNUNEZ, RAFAEL (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Soma Medical Center, PA | Palm Springs, FL | $1.57M |
| Juan E. Batista, MD, PA | West Palm Beach, FL | $268K |
| Soma Medical Center PA #8 | Palm Springs, FL | $62K |
| Soma Medical Center .PA #6 | Boynton Beach, FL | $10K |
| Soma Medical Center PA #9 | Palm Springs, FL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.