Somc Medical Group PC
Somc Medical Group PC was paid $2.58M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoSOMC MEDICAL GROUP PC
JACKSON, NJ 08527
JACKSON, NJ 08527
33aNPI1699004606assigned 12/22/2009
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$2.58M
24GClaims33,124
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in New Jersey
Rank by total paid#1 of 210
Median peer was paid$13K
This provider vs. median196×
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 | 559 | $17K | |
| 2019 | 1,214 | $93K | |
| 2020 | 5,034 | $309K | |
| 2021 | 6,819 | $637K | |
| 2022 | 6,030 | $421K | |
| 2023 | 7,439 | $601K | |
| 2024incomplete | 6,029 | $500K |
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 | 76% | 22,780 | 20,597 | $1.97M |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.7% | 3,078 | 3,043 | $251K |
| 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 | 7.3% | 2,356 | 2,227 | $188K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 852 | 841 | $70K |
| S9083 | Global fee urgent care centers | 2.7% | 1,013 | 910 | $70K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 596 | 526 | $10K |
| 99307 | <1% | 995 | 841 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 87 | 85 | $8K |
| 99304 | <1% | 18 | 17 | $425.48 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 661 | 628 | $200.13 |
| 81002 | <1% | 79 | 75 | $7.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 315 | 298 | $0.00 |
2 more codes
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 officialMARCHETTI, CARL (PRESIDENT)