Sommer, Michael
Sommer, Michael was paid $262K by Medicaid between Apr 2018 and Jul 2024, across 8 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 40% of everything it billed.
33Billing provider infoSOMMER, MICHAEL
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
33aNPI1427493204assigned 05/07/2013
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$262K
24GClaims2,472
24DCodes billed8
24AFirst – last monthApr 2018 – Jul 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Pennsylvania
Rank by total paid#25 of 651
Median peer was paid$8K
This provider vs. median34×
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 | 61 | $3K | |
| 2020 | 342 | $38K | |
| 2021 | 1,000 | $84K | |
| 2024incomplete | 1,069 | $137K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 40% | 299 | 292 | $105K |
| D7240 | Removal of impacted tooth - completely bony | 20% | 308 | 92 | $53K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 18% | 841 | 290 | $48K |
| D9222 | 13% | 299 | 292 | $35K | |
| D0330 | Panoramic radiographic image | 3.5% | 227 | 226 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 282 | 279 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 185 | 185 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 31 | 31 | $2K |
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.