Physician
Somc Medical Care Foundation, INC.
Somc Medical Care Foundation, INC. was paid $25.29M by Medicaid between Jan 2018 and Dec 2024, across 212 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoSOMC MEDICAL CARE FOUNDATION, INC.
PORTSMOUTH, OH 45662
PORTSMOUTH, OH 45662
33aNPI1457467227assigned 08/22/2006
33bProvider typeRadiation Oncology Physician
28Total paid$25.29M
24GClaims1,055,701
24DCodes billed212
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Radiation Oncology Physician providers in Ohio
Rank by total paid#1 of 9
Median peer was paid$10K
This provider vs. median2,610×
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 | 121,512 | $2.59M | |
| 2019 | 143,314 | $3.16M | |
| 2020 | 136,599 | $3.05M | |
| 2021 | 163,432 | $3.90M | |
| 2022 | 171,467 | $4.19M | |
| 2023 | 178,626 | $4.37M | |
| 2024incomplete | 140,751 | $4.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 335,020 | 310,102 | $10.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 368,877 | 333,374 | $8.04M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.1% | 23,600 | 13,712 | $534K |
| 99223 | Prolong inpt eval add15 m | 1.7% | 10,532 | 9,637 | $437K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 15,126 | 13,400 | $415K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 29,970 | 14,759 | $399K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.5% | 66,931 | 54,248 | $378K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 10,069 | 9,703 | $339K |
| 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 | 1.3% | 7,018 | 6,652 | $332K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 10,695 | 10,200 | $331K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.2% | 3,253 | 3,078 | $292K |
| 93458 | <1% | 2,556 | 2,336 | $238K |
200 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 8,178 | $226K |
| 90837 | Psychotherapy session, about an hour | <1% | 3,587 | $211K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 5,534 | $172K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 8,867 | $161K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,788 | $159K |
| 20610 | <1% | 7,091 | $153K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 4,911 | $143K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 968 | $127K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 9,948 | $115K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,746 | $101K |
| 92928 | <1% | 635 | $93K | |
| 95886 | <1% | 4,707 | $88K | |
| 95913 | <1% | 787 | $87K | |
| 93298 | <1% | 5,594 | $84K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,464 | $81K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 3,328 | $75K |
| 95811 | <1% | 1,100 | $68K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,637 | $58K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,173 | $57K |
| 93016 | <1% | 3,465 | $46K | |
| 88307 | <1% | 979 | $43K | |
| 95911 | <1% | 746 | $42K | |
| 99441 | <1% | 4,549 | $42K | |
| 95912 | <1% | 509 | $37K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 975 | $36K |
| 99442 | <1% | 2,190 | $35K | |
| 95816 | <1% | 1,467 | $34K | |
| 93018 | <1% | 3,748 | $33K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 4,149 | $33K |
| 92978 | <1% | 769 | $31K | |
| 88342 | <1% | 1,738 | $30K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 785 | $29K |
| 88304 | <1% | 3,927 | $26K | |
| 94060 | <1% | 2,214 | $24K | |
| 99406 | <1% | 5,156 | $23K | |
| 99152 | <1% | 4,379 | $22K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 352 | $21K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 104 | $20K |
| 88141 | <1% | 949 | $19K | |
| 93297 | <1% | 1,944 | $18K | |
| 31575 | <1% | 656 | $17K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,105 | $17K |
| 93970 | <1% | 912 | $17K | |
| 43450 | <1% | 613 | $15K | |
| 64615 | <1% | 262 | $14K | |
| 59515 | <1% | 29 | $14K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 256 | $13K |
| 99497 | <1% | 1,973 | $12K | |
| 99460 | <1% | 223 | $12K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 739 | $11K |
| 73630 | <1% | 1,993 | $11K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 137 | $10K |
| 93971 | <1% | 720 | $10K | |
| 88112 | <1% | 778 | $10K | |
| 93571 | <1% | 737 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,070 | $9K |
| 93454 | <1% | 158 | $9K | |
| 59514 | <1% | 41 | $9K | |
| 94726 | <1% | 2,194 | $9K | |
| 94729 | <1% | 2,245 | $8K | |
| 99188 | <1% | 300 | $7K | |
| 20552 | <1% | 493 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 155 | $6K |
| 54150 | <1% | 161 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,168 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 465 | $6K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 198 | $6K |
| 99307 | <1% | 1,481 | $6K | |
| 99401 | <1% | 471 | $6K | |
| 99443 | <1% | 281 | $6K | |
| 93308 | <1% | 434 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 84 | $6K |
| 90785 | <1% | 522 | $5K | |
| 93227 | <1% | 217 | $5K | |
| 93295 | <1% | 194 | $4K | |
| 93294 | <1% | 381 | $4K | |
| 69210 | <1% | 578 | $4K | |
| 92557 | <1% | 281 | $4K | |
| 95251 | <1% | 251 | $4K | |
| 11045 | <1% | 318 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 610 | $4K |
| 93880 | <1% | 287 | $4K | |
| 92979 | <1% | 116 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 142 | $3K |
| 17110 | <1% | 129 | $3K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 27 | $3K |
| 52000 | <1% | 81 | $3K | |
| 92567 | <1% | 424 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,076 | $3K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 97 | $3K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 79 | $3K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 169 | $3K |
| 93299 | <1% | 118 | $3K | |
| 88311 | <1% | 468 | $3K | |
| 77014 | <1% | 121 | $3K | |
| 94618 | <1% | 197 | $2K | |
| 95861 | <1% | 46 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 45 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 102 | $2K |
| 95822 | <1% | 91 | $2K | |
| 73610 | <1% | 306 | $2K | |
| 11102 | <1% | 82 | $2K | |
| 99381 | <1% | 64 | $2K | |
| 73560 | <1% | 397 | $1K | |
| 77427 | <1% | 24 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 161 | $1K |
| 64493 | <1% | 37 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 50 | $1K |
| 95819 | <1% | 84 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 61 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 485 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 188 | $1K |
| 99221 | <1% | 70 | $1K | |
| 99385 | <1% | 29 | $1K | |
| 31231 | <1% | 64 | $1K | |
| 73562 | <1% | 180 | $1K | |
| 96160 | <1% | 794 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 55 | $960.22 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 30 | $939.42 |
| 52204 | <1% | 13 | $894.01 | |
| 99462 | <1% | 43 | $883.50 | |
| 93272 | <1% | 42 | $878.12 | |
| 74420 | <1% | 82 | $863.28 | |
| 99496 | <1% | 56 | $836.60 | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 12 | $810.98 |
| 64483 | <1% | 35 | $802.00 | |
| 20553 | <1% | 67 | $793.54 | |
| 20550 | <1% | 43 | $791.18 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 814 | $782.81 |
| 90686 | <1% | 72 | $780.72 | |
| 95860 | <1% | 28 | $767.46 | |
| 57454 | <1% | 13 | $758.47 | |
| 99305 | <1% | 43 | $731.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 85 | $722.79 |
| 95910 | <1% | 13 | $717.69 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 265 | $711.33 |
| 62323 | <1% | 12 | $706.43 | |
| 88302 | <1% | 151 | $689.16 | |
| 64484 | <1% | 29 | $688.97 | |
| 95909 | <1% | 20 | $685.66 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 81 | $668.67 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 87 | $663.00 |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 17 | $612.68 |
| 73502 | <1% | 102 | $612.38 | |
| 88173 | <1% | 24 | $553.98 | |
| 64494 | <1% | 37 | $496.93 | |
| 99498 | <1% | 63 | $464.38 | |
| 90647 | <1% | 291 | $447.09 | |
| 31645 | <1% | 15 | $426.54 | |
| 99335 | <1% | 31 | $389.00 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 30 | $332.92 |
| 0523T | <1% | 16 | $320.95 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 50 | $300.20 |
| 94010 | <1% | 58 | $294.15 | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 15 | $286.23 |
| 99217 | <1% | 19 | $255.38 | |
| 73110 | <1% | 42 | $247.31 | |
| 90461 | <1% | 635 | $246.18 | |
| 73030 | <1% | 42 | $242.92 | |
| 17000 | <1% | 16 | $234.82 | |
| 90633 | <1% | 103 | $225.00 | |
| 99173 | <1% | 57 | $223.41 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 15 | $212.17 |
| 96127 | <1% | 108 | $198.07 | |
| 99201 | <1% | 14 | $184.33 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 52 | $171.06 |
| 90474 | <1% | 623 | $116.58 | |
| 11721 | <1% | 13 | $111.48 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $99.31 |
| 74018 | <1% | 14 | $99.08 | |
| 73130 | <1% | 22 | $97.95 | |
| 51798 | <1% | 16 | $91.76 | |
| 97597 | <1% | 37 | $79.81 | |
| 83655 | <1% | 483 | $65.40 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 13 | $36.20 |
| 85018 | <1% | 662 | $24.91 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 48 | $19.92 |
| 82962 | <1% | 13 | $12.76 | |
| 81003 | <1% | 26 | $7.83 | |
| 36416 | <1% | 201 | $7.62 | |
| 99172 | <1% | 26 | $7.20 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 54 | $0.21 |
| 0502F | 0% | 345 | $0.00 | |
| 90734 | 0% | 46 | $0.00 | |
| 90661 | 0% | 105 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 44 | $0.00 |
| 90670 | 0% | 94 | $0.00 | |
| 90681 | 0% | 54 | $0.00 | |
| 90710 | 0% | 15 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90677 | 0% | 538 | $0.00 | |
| 90723 | 0% | 331 | $0.00 | |
| 90656 | 0% | 39 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 56 | $0.00 |
| 90696 | 0% | 14 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 99024 | 0% | 57 | $0.00 | |
| 90674 | 0% | 46 | $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 officialFITE, REBECCA (ADMINISTRATIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Somc Medical Care Foundation, INC. | Portsmouth, OH | $3.84M |
| Somc Medical Care Foundation, INC. | Portsmouth, OH | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.