Physician
Soma Medical Center PA 7
Soma Medical Center PA 7 was paid $13.25M by Medicaid between Nov 2018 and Dec 2024, across 85 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSOMA MEDICAL CENTER PA 7
LAKE WORTH, FL 33461
LAKE WORTH, FL 33461
33aNPI1740690254assigned 05/06/2014
33bProvider typePediatrics Physician
28Total paid$13.25M
24GClaims341,806
24DCodes billed85
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#14 of 971
Median peer was paid$238K
This provider vs. median56×
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 | 3,538 | $114K | |
| 2019 | 43,764 | $1.57M | |
| 2020 | 49,076 | $1.85M | |
| 2021 | 65,072 | $2.15M | |
| 2022 | 77,332 | $3.31M | |
| 2023 | 68,663 | $3.17M | |
| 2024incomplete | 34,361 | $1.08M |
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 | 40% | 68,754 | 56,218 | $5.30M |
| 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 | 20% | 21,928 | 20,080 | $2.59M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 7,996 | 7,839 | $1.06M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 6,956 | 6,795 | $843K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 5,650 | 5,278 | $762K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 5,371 | 5,210 | $729K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 12,997 | 11,569 | $684K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 17,786 | 15,508 | $422K |
| 97803 | 1.3% | 23,190 | 20,662 | $177K | |
| 99381 | <1% | 1,094 | 995 | $110K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 657 | 624 | $82K |
| 90461 | <1% | 7,445 | 7,167 | $64K |
73 more codes
| H0049 | Alcohol and/or drug screening | <1% | 7,002 | $50K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,760 | $48K |
| 99383 | <1% | 317 | $44K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 204 | $34K |
| 99384 | <1% | 190 | $33K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,013 | $21K |
| 99051 | <1% | 4,057 | $20K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,257 | $19K |
| 92558 | <1% | 5,891 | $18K | |
| 99382 | <1% | 134 | $18K | |
| 96160 | <1% | 6,744 | $14K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 2,300 | $13K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,841 | $13K |
| 97802 | <1% | 1,860 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,049 | $12K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,497 | $11K |
| 99401 | <1% | 2,424 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 459 | $9K |
| 99188 | <1% | 752 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,723 | $7K |
| 83655 | <1% | 649 | $3K | |
| 96127 | <1% | 7,068 | $3K | |
| 0071A | <1% | 63 | $1K | |
| 0002A | <1% | 131 | $1K | |
| 0001A | <1% | 152 | $1K | |
| 90716 | <1% | 2,085 | $1K | |
| 85018 | <1% | 759 | $815.22 | |
| 92567 | <1% | 185 | $669.93 | |
| 0072A | <1% | 36 | $640.00 | |
| 90700 | <1% | 5,333 | $570.94 | |
| 90707 | <1% | 1,991 | $492.97 | |
| 90648 | <1% | 4,445 | $478.50 | |
| 90686 | <1% | 1,875 | $289.69 | |
| 90713 | <1% | 4,208 | $274.53 | |
| 99354 | <1% | 392 | $268.45 | |
| 90633 | <1% | 2,701 | $218.03 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 15,414 | $188.11 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 6,005 | $173.10 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 12,397 | $136.58 |
| 90680 | <1% | 3,296 | $135.77 | |
| 1111F | <1% | 2,453 | $129.60 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 5,286 | $122.03 |
| 90744 | <1% | 2,008 | $108.01 | |
| 99173 | <1% | 12,091 | $103.45 | |
| 99050 | <1% | 15 | $71.34 | |
| 96161 | <1% | 246 | $64.57 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,542 | $50.00 |
| 99177 | <1% | 4,157 | $40.64 | |
| 90734 | <1% | 1,297 | $24.01 | |
| 90651 | <1% | 2,292 | $24.01 | |
| 91307 | <1% | 106 | $0.09 | |
| 90715 | <1% | 1,039 | $0.07 | |
| 90656 | <1% | 95 | $0.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 413 | $0.01 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,004 | $0.00 |
| 90670 | 0% | 4,007 | $0.00 | |
| 91300 | 0% | 186 | $0.00 | |
| 90710 | 0% | 173 | $0.00 | |
| 90685 | 0% | 15 | $0.00 | |
| 94664 | 0% | 113 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 102 | $0.00 |
| 90671 | 0% | 43 | $0.00 | |
| 90473 | 0% | 12 | $0.00 | |
| 90674 | 0% | 52 | $0.00 | |
| 90620 | 0% | 1,506 | $0.00 | |
| 36416 | 0% | 778 | $0.00 | |
| 90723 | 0% | 303 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 812 | $0.00 |
| 90619 | 0% | 447 | $0.00 | |
| 90677 | 0% | 573 | $0.00 | |
| 90698 | 0% | 65 | $0.00 | |
| 90697 | 0% | 48 | $0.00 | |
| 99402 | 0% | 44 | $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 officialFLORES, ZULMA (MEDICAL DIRECTOR)