Clinic
Soma Medical Center, PA
Soma Medical Center, PA was paid $1.57M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSOMA MEDICAL CENTER, PA
PALM SPRINGS, FL 33406
PALM SPRINGS, FL 33406
33aNPI1467499038assigned 06/01/2006
28Total paid$1.57M
24GClaims139,667
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Florida
Rank by total paid#54 of 249
Median peer was paid$293K
This provider vs. median5.4×
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 | 1,447 | $5K | |
| 2019 | 7,387 | $112K | |
| 2020 | 10,873 | $187K | |
| 2021 | 16,609 | $291K | |
| 2022 | 26,566 | $372K | |
| 2023 | 42,171 | $435K | |
| 2024incomplete | 34,614 | $170K |
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 | 42% | 31,079 | 25,528 | $662K |
| 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 | 24% | 15,508 | 12,986 | $373K |
| 99385 | 11% | 2,944 | 2,825 | $172K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.4% | 1,891 | 1,823 | $101K |
| 99386 | 5.6% | 1,126 | 1,098 | $88K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.2% | 1,389 | 1,347 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,408 | 1,223 | $23K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 1.1% | 183 | 29 | $18K |
| 93000 | <1% | 2,892 | 2,743 | $11K | |
| 99499 | <1% | 658 | 529 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 983 | 901 | $7K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 666 | 647 | $6K |
76 more codes
| 93922 | <1% | 87 | $5K | |
| 99401 | <1% | 289 | $4K | |
| 99051 | <1% | 658 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 5,907 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 45 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,092 | $1K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 711 | $894.47 |
| 94010 | <1% | 98 | $813.64 | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 17 | $675.00 |
| 0011A | <1% | 34 | $522.51 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,056 | $475.17 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 74 | $466.52 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 55 | $340.31 |
| 92100 | <1% | 87 | $299.87 | |
| 3074F | <1% | 7,407 | $297.63 | |
| 0012A | <1% | 21 | $294.17 | |
| 86328 | <1% | 45 | $262.23 | |
| 91301 | <1% | 119 | $247.53 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 49 | $207.85 |
| 99423 | <1% | 15 | $174.92 | |
| 3008F | <1% | 11,914 | $155.93 | |
| 1111F | <1% | 914 | $141.70 | |
| 3075F | <1% | 1,667 | $140.15 | |
| 0013A | <1% | 21 | $134.17 | |
| 86318 | <1% | 28 | $133.69 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 36 | $121.71 |
| 3078F | <1% | 7,591 | $85.09 | |
| 99422 | <1% | 74 | $82.88 | |
| 81003 | <1% | 82 | $58.77 | |
| 90756 | <1% | 58 | $57.24 | |
| 96127 | <1% | 1,366 | $52.18 | |
| 99406 | <1% | 15 | $47.39 | |
| 81025 | <1% | 25 | $45.85 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 29 | $43.05 |
| 1160F | <1% | 4,314 | $42.57 | |
| 1170F | <1% | 758 | $42.51 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $39.68 |
| 1126F | <1% | 1,010 | $39.41 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $34.80 |
| 96160 | <1% | 654 | $29.88 | |
| 3079F | <1% | 2,439 | $28.35 | |
| 99177 | <1% | 996 | $28.34 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,303 | $28.34 |
| 0521F | <1% | 610 | $28.34 | |
| 2001F | <1% | 4,078 | $28.34 | |
| 1159F | <1% | 4,889 | $14.23 | |
| 3016F | <1% | 514 | $14.17 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,276 | $14.17 |
| 1000F | <1% | 4,400 | $12.61 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 14 | $0.09 |
| 3077F | <1% | 438 | $0.01 | |
| 3288F | 0% | 254 | $0.00 | |
| 4013F | 0% | 66 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,144 | $0.00 |
| 4551F | 0% | 363 | $0.00 | |
| 0518F | 0% | 349 | $0.00 | |
| 3015F | 0% | 40 | $0.00 | |
| 1158F | 0% | 73 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 15 | $0.00 |
| 99483 | Prolong outpt/office vis | 0% | 14 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,162 | $0.00 |
| 2010F | 0% | 3,710 | $0.00 | |
| 2000F | 0% | 1,435 | $0.00 | |
| 3044F | 0% | 55 | $0.00 | |
| 1157F | 0% | 381 | $0.00 | |
| 1036F | 0% | 62 | $0.00 | |
| 3080F | 0% | 75 | $0.00 | |
| 1125F | 0% | 59 | $0.00 | |
| 92250 | 0% | 16 | $0.00 | |
| 4010F | 0% | 48 | $0.00 | |
| 3017F | 0% | 80 | $0.00 | |
| 3048F | 0% | 13 | $0.00 | |
| 0001F | 0% | 46 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| 3014F | 0% | 43 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 21 | $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 officialNUNEZ, RAFAEL (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Soma Medical Center PA 6 | Palm Springs, FL | $1.43M |
| Juan E. Batista, MD, PA | West Palm Beach, FL | $268K |
| Soma Medical Center PA #8 | Palm Springs, FL | $62K |
| Soma Medical Center .PA #6 | Boynton Beach, FL | $10K |
| Soma Medical Center PA #9 | Palm Springs, FL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.