Physician
Soma Medical Center, PA #4
Soma Medical Center, PA #4 was paid $7.67M by Medicaid between Dec 2018 and Dec 2024, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoSOMA MEDICAL CENTER, PA #4
WEST PALM BEACH, FL 33415
WEST PALM BEACH, FL 33415
33aNPI1568912699assigned 10/13/2016
33bProvider typePediatrics Physician
28Total paid$7.67M
24GClaims195,305
24DCodes billed77
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#35 of 971
Median peer was paid$238K
This provider vs. median32×
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 | 1,052 | $25K | |
| 2019 | 25,282 | $957K | |
| 2020 | 33,912 | $1.29M | |
| 2021 | 38,673 | $1.50M | |
| 2022 | 37,280 | $1.66M | |
| 2023 | 38,198 | $1.64M | |
| 2024incomplete | 20,908 | $593K |
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 | 32% | 33,531 | 27,216 | $2.42M |
| 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 | 27% | 18,375 | 16,585 | $2.09M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 15,516 | 13,521 | $778K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 3,744 | 3,625 | $523K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 3,787 | 3,644 | $496K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 3,135 | 3,019 | $468K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 2,336 | 2,207 | $338K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.7% | 10,428 | 9,600 | $209K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 3,783 | 3,568 | $68K |
| 97802 | <1% | 7,238 | 6,461 | $42K | |
| 97803 | <1% | 5,129 | 4,706 | $29K | |
| 90461 | <1% | 4,212 | 3,995 | $25K |
65 more codes
| 99381 | <1% | 178 | $25K | |
| 92558 | <1% | 8,311 | $20K | |
| H0049 | Alcohol and/or drug screening | <1% | 3,551 | $20K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 728 | $16K |
| 96160 | <1% | 5,006 | $14K | |
| 99051 | <1% | 5,246 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,241 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,282 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,171 | $10K |
| 99401 | <1% | 2,291 | $6K | |
| 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% | 1,679 | $5K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 62 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,228 | $4K |
| 99383 | <1% | 16 | $3K | |
| 94010 | <1% | 611 | $3K | |
| 99188 | <1% | 449 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 781 | $2K |
| 96127 | <1% | 3,128 | $1K | |
| 99354 | <1% | 216 | $1K | |
| 90707 | <1% | 489 | $625.48 | |
| 99050 | <1% | 224 | $487.49 | |
| 90633 | <1% | 956 | $483.95 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 6,887 | $442.37 |
| 90700 | <1% | 1,767 | $358.73 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $258.51 |
| 90713 | <1% | 1,167 | $63.94 | |
| 99173 | <1% | 6,542 | $54.19 | |
| 0072A | <1% | 36 | $40.00 | |
| 90648 | <1% | 1,281 | $10.26 | |
| 90656 | <1% | 229 | $0.01 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,405 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 3,265 | $0.00 |
| 1111F | 0% | 1,179 | $0.00 | |
| 90686 | 0% | 1,985 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 3,206 | $0.00 |
| 90716 | 0% | 613 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,294 | $0.00 |
| 90680 | 0% | 1,026 | $0.00 | |
| 90619 | 0% | 263 | $0.00 | |
| 90651 | 0% | 804 | $0.00 | |
| 90620 | 0% | 492 | $0.00 | |
| 90744 | 0% | 534 | $0.00 | |
| 90723 | 0% | 308 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 136 | $0.00 |
| 92567 | 0% | 109 | $0.00 | |
| 90647 | 0% | 296 | $0.00 | |
| 90698 | 0% | 344 | $0.00 | |
| 99402 | 0% | 96 | $0.00 | |
| 0001A | 0% | 115 | $0.00 | |
| 90674 | 0% | 61 | $0.00 | |
| 91307 | 0% | 118 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90715 | 0% | 103 | $0.00 | |
| 90670 | 0% | 1,853 | $0.00 | |
| 99177 | 0% | 1,843 | $0.00 | |
| 90734 | 0% | 224 | $0.00 | |
| 94664 | 0% | 15 | $0.00 | |
| 90671 | 0% | 323 | $0.00 | |
| 91300 | 0% | 87 | $0.00 | |
| 0002A | 0% | 87 | $0.00 | |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 38 | $0.00 |
| 99358 | Prolong nursin fac eval 15m | 0% | 17 | $0.00 |
| 90681 | 0% | 43 | $0.00 | |
| 0071A | 0% | 18 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $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 officialNIEMCZYK, LINA NIEMCZYK (OFFICE MANAGER)
Parent organizationSOMA MEDICAL CENTER, PA #4