Physician
Vergne Sotomayor, Carlos
Vergne Sotomayor, Carlos was paid $16.00 by Medicaid between Jan 2018 and Jan 2018, across 8 billing codes. Its largest line is 3074F, — 62% of everything it billed.
33Billing provider infoVERGNE SOTOMAYOR, CARLOS
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1649298811assigned 07/17/2006
33bProvider typeGeneral Practice Physician
28Total paid$16.00
24GClaims208
24DCodes billed8
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#918 of 1,195
Median peer was paid$2K
This provider vs. median0.0×
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 | 208 | $16.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 3074F | 62% | 26 | 23 | $10.00 | |
| 3079F | 38% | 27 | 23 | $6.00 | |
| 1158F | 0% | 12 | 12 | $0.00 | |
| 3078F | 0% | 27 | 26 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 67 | 56 | $0.00 |
| 3075F | 0% | 24 | 21 | $0.00 | |
| 3044F | 0% | 12 | 12 | $0.00 | |
| 3061F | 0% | 13 | 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.