Sommer, Deborah
Sommer, Deborah was paid $77K by Medicaid between Jan 2021 and Oct 2024, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 66% of everything it billed.
33Billing provider infoSOMMER, DEBORAH
SEWICKLEY, PA 15143
SEWICKLEY, PA 15143
33aNPI1326008939assigned 03/27/2006
33bProvider typeSpecialist
28Total paid$77K
24GClaims1,337
24DCodes billed6
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#107 of 543
Median peer was paid$16K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2021 | 491 | $30K | |
| 2022 | 398 | $23K | |
| 2023 | 194 | $10K | |
| 2024incomplete | 254 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 66% | 599 | 440 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 602 | 588 | $24K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 43 | 42 | $967.00 |
| 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 | 1.0% | 13 | 13 | $797.23 |
| 81025 | <1% | 68 | 65 | $289.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | 12 | $167.64 |
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.