Physician
Som Medical Practice PLLC
Som Medical Practice PLLC was paid $391K by Medicaid between Jun 2021 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoSOM MEDICAL PRACTICE PLLC
NIAGARA FALLS, NY 14304
NIAGARA FALLS, NY 14304
33aNPI1720598501assigned 10/05/2017
33bProvider typePediatrics Physician
28Total paid$391K
24GClaims10,753
24DCodes billed39
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#468 of 1,983
Median peer was paid$17K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2021 | 174 | $7K | |
| 2022 | 1,288 | $56K | |
| 2023 | 2,965 | $110K | |
| 2024incomplete | 6,326 | $218K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 2,122 | 1,987 | $179K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,644 | 1,526 | $95K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.5% | 224 | 224 | $26K |
| 90838 | 6.2% | 291 | 268 | $24K | |
| 99443 | 3.5% | 273 | 259 | $14K | |
| 99497 | 3.4% | 259 | 256 | $13K | |
| 99385 | 2.7% | 132 | 132 | $10K | |
| 99406 | 1.2% | 526 | 481 | $5K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 81 | 72 | $4K |
| 99401 | <1% | 192 | 160 | $4K | |
| 96127 | <1% | 1,656 | 1,595 | $4K | |
| 99442 | <1% | 66 | 63 | $3K |
27 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 292 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | $2K |
| 90839 | <1% | 13 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $956.09 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 285 | $917.86 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $897.14 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 313 | $679.00 |
| 99484 | <1% | 68 | $648.57 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 296 | $288.94 |
| 96156 | <1% | 13 | $165.72 | |
| 3074F | <1% | 161 | $140.00 | |
| 2014F | <1% | 109 | $60.00 | |
| 3078F | <1% | 78 | $20.00 | |
| 4004F | <1% | 121 | $10.01 | |
| 3288F | <1% | 86 | $5.01 | |
| 1159F | 0% | 95 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 247 | $0.00 |
| 1160F | 0% | 105 | $0.00 | |
| 97803 | 0% | 12 | $0.00 | |
| 3085F | 0% | 17 | $0.00 | |
| 3037F | 0% | 55 | $0.00 | |
| 3008F | 0% | 418 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 244 | $0.00 |
| 2001F | 0% | 73 | $0.00 | |
| 2010F | 0% | 72 | $0.00 | |
| 2000F | 0% | 59 | $0.00 | |
| 97802 | 0% | 12 | $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 officialSOM, SANTANU (PHYSICIAN/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Niagara Falls Urgent Care | Niagara Falls, NY | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.