Sosa, Miguel

Sosa, Miguel was paid $122K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoSOSA, MIGUEL
HUMACAO, PR 00792

33aNPI1467519561assigned 01/02/2007

33bProvider typeUrology Physician

28Total paid$122K

24GClaims3,003

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Urology Physician providers in Puerto Rico

Rank by total paid#19 of 62

Median peer was paid$25K

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
2018	781	$16K
2019	594	$11K
2020	270	$9K
2021	274	$14K
2022	357	$19K
2023	327	$22K
2024incomplete	400	$31K

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	90%	2,711	2,427	$109K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.7%	263	252	$12K
99222	Initial hospital care, per day, moderate complexity	<1%	29	26	$789.00

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.