Agency
Soma Medical Center, PA
Soma Medical Center, PA was paid $312K by Medicaid between Oct 2020 and Jun 2023, across 21 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 92% of everything it billed.
33Billing provider infoSOMA MEDICAL CENTER, PA
ROYAL PALM BEACH, FL 33411
ROYAL PALM BEACH, FL 33411
33aNPI1750988176assigned 10/08/2020
33bProvider typeCase Management Agency
28Total paid$312K
24GClaims3,456
24DCodes billed21
24AFirst – last monthOct 2020 – Jun 2023
Compared with peers
Next to other Case Management Agency providers in Florida
Rank by total paid#239 of 357
Median peer was paid$839K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 958 | $66K | |
| 2021 | 1,694 | $234K | |
| 2023 | 804 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 92% | 2,059 | 311 | $288K |
| 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 | 3.1% | 304 | 286 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 445 | 406 | $9K |
| 99385 | <1% | 29 | 29 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 20 | 20 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | 15 | $1K |
| H0032 | Mental health service plan development by non-physician | <1% | 15 | 12 | $921.50 |
| 93000 | <1% | 27 | 27 | $87.01 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 28 | 28 | $37.04 |
| 3074F | 0% | 84 | 83 | $0.00 | |
| 3008F | 0% | 118 | 117 | $0.00 | |
| 1000F | 0% | 26 | 26 | $0.00 |
9 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 officialFLOREZ, ANDRES (VICE PRESIDENT)
Parent organizationSOMA MEDICAL CENTER, PA