Physician
Soundview Medical Associates, LLC.
Soundview Medical Associates, LLC. was paid $1.09M by Medicaid between Jan 2018 and Feb 2020, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoSOUNDVIEW MEDICAL ASSOCIATES, LLC.
NORWALK, CT 06851
NORWALK, CT 06851
33aNPI1306805130assigned 03/21/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.09M
24GClaims34,287
24DCodes billed37
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Family Medicine Physician providers in Connecticut
Rank by total paid#13 of 139
Median peer was paid$35K
This provider vs. median31×
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 | 17,648 | $544K | |
| 2019 | 14,840 | $464K | |
| 2020 | 1,799 | $85K |
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 | 48% | 11,313 | 10,003 | $519K |
| 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 | 37% | 5,779 | 5,337 | $405K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.7% | 557 | 524 | $29K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.2% | 1,127 | 846 | $24K |
| 99307 | 1.6% | 1,185 | 526 | $18K | |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 6,683 | 6,136 | $15K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.3% | 498 | 328 | $15K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 101 | 95 | $13K |
| 80061 | Lipid panel | 1.0% | 1,227 | 1,195 | $11K |
| 80050 | General health panel | <1% | 176 | 171 | $6K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 46 | 29 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 936 | 907 | $5K |
25 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 583 | $4K |
| 93000 | <1% | 304 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 695 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 192 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 155 | $2K |
| 84439 | <1% | 290 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 86 | $1K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 49 | $989.80 |
| 90686 | <1% | 108 | $970.53 | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 15 | $967.92 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 339 | $651.72 |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | $463.54 |
| 94060 | <1% | 12 | $292.32 | |
| 94760 | <1% | 227 | $209.16 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 35 | $105.04 |
| 81002 | <1% | 788 | $80.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 192 | $56.23 |
| 2010F | 0% | 289 | $0.00 | |
| 99000 | 0% | 155 | $0.00 | |
| 3008F | 0% | 24 | $0.00 | |
| 1170F | 0% | 12 | $0.00 | |
| 2000F | 0% | 13 | $0.00 | |
| 2028F | 0% | 44 | $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 officialSAMMARCO, FRANK (VICE PRESIDENT CLINICAL OPERATIONS)