Sonia Y Tovar Profesional Corporation Nursing

Sonia Y Tovar Profesional Corporation Nursing was paid $1.08M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 25% of everything it billed.

33Billing provider infoSONIA Y TOVAR PROFESIONAL CORPORATION NURSING
POMONA, CA 91767

33aNPI1679626428assigned 01/18/2007

33bProvider typeFamily Nurse Practitioner

28Total paid$1.08M

24GClaims23,957

24DCodes billed27

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in California

Rank by total paid#9 of 201

Median peer was paid$1K

This provider vs. median930×

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	7,456	$317K
2019	3,719	$147K
2020	2,594	$118K
2021	3,367	$162K
2022	2,635	$125K
2023	3,004	$152K
2024incomplete	1,182	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	25%	3,889	3,448	$272K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	2,187	2,117	$248K
Z1034		18%	3,435	2,493	$192K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	17%	1,196	1,184	$184K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	5.6%	1,396	1,336	$60K
Z1032		4.7%	446	446	$51K
99000		2.2%	6,888	6,172	$24K
99401		1.8%	1,032	1,028	$20K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	781	781	$10K
81025		<1%	1,425	1,417	$6K
92552		<1%	257	256	$4K
99383		<1%	32	17	$3K

15 more codes

99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	24	$2K
81002		<1%	554	$943.78
99451		<1%	28	$817.00
90633		<1%	63	$567.00
90713		<1%	63	$564.75
90716		<1%	47	$423.00
90707		<1%	42	$378.00
90647		<1%	38	$342.00
90670		<1%	27	$243.00
Z6208		<1%	14	$242.24
90649		<1%	26	$234.00
Z6414		<1%	14	$189.25
90700		<1%	13	$117.00
90715		<1%	12	$108.00
86580		<1%	28	$84.56

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 officialTOVAR, SONIA (PRESIDENT)