Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sotomayor, Edgar

Sotomayor, Edgar was paid $17K by Medicaid between Mar 2021 and Jul 2024, across 1 billing code. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 100% of everything it billed.

33Billing provider infoSOTOMAYOR, EDGAR
BUTLER, PA 16001
33aNPI1639284268assigned 08/21/2006
28Total paid$17K
24GClaims452
24DCodes billed1
24AFirst – last monthMar 2021 – Jul 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Pennsylvania

Rank by total paid#81 of 163
Median peer was paid$15K
This provider vs. median1.1×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2021111$4K
2022130$5K
2023131$5K
2024incomplete80$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 100% 452 445 $17K

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.