Physician
V John D Souza MD SC
V John D Souza MD SC was paid $17K by Medicaid between Feb 2019 and Jan 2023, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 72% of everything it billed.
33Billing provider infoV JOHN D SOUZA MD SC
ORMOND BEACH, FL 32174
ORMOND BEACH, FL 32174
33aNPI1316130594assigned 08/22/2007
33bProvider typePulmonary Disease Physician
28Total paid$17K
24GClaims1,144
24DCodes billed4
24AFirst – last monthFeb 2019 – Jan 2023
Compared with peers
Next to other Pulmonary Disease Physician providers in Florida
Rank by total paid#65 of 142
Median peer was paid$11K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2019 | 365 | $6K | |
| 2020 | 353 | $5K | |
| 2021 | 382 | $5K | |
| 2022 | 31 | $751.66 | |
| 2023 | 13 | $245.15 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 72% | 599 | 212 | $12K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 15% | 409 | 87 | $3K |
| 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 | 8.2% | 123 | 110 | $1K |
| 99223 | Prolong inpt eval add15 m | 4.8% | 13 | 12 | $806.67 |
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 officialCOOLIDGE, ROBERT (AGENT/REPRESENTATIVE)
| Provider | Location | Paid |
|---|---|---|
| Richard M Sag MD PA | Orlando, FL | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.