Sosa, Alain

Sosa, Alain was paid $143K by Medicaid between Jan 2018 and May 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoSOSA, ALAIN
ELMHURST, NY 11373

33aNPI1770503393assigned 07/19/2006

33bProvider typeInternal Medicine Physician

28Total paid$143K

24GClaims9,394

24DCodes billed37

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,048 of 6,049

Median peer was paid$11K

This provider vs. median13×

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	572	$11K
2019	1,271	$20K
2020	1,336	$23K
2021	611	$15K
2022	3,277	$35K
2023	2,189	$31K
2024incomplete	138	$8K

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	49%	2,035	1,802	$71K
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	37%	969	915	$53K
93000		4.4%	546	524	$6K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.3%	53	53	$5K
H0001	Alcohol and/or drug assessment	2.2%	458	436	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.1%	22	22	$2K
94010		<1%	31	31	$858.76
99490	Ccm add 20min	<1%	155	155	$756.20
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	<1%	467	437	$663.03
3075F		<1%	250	246	$375.00
3079F		<1%	251	248	$375.00
1000F		<1%	335	326	$100.00

25 more codes

3725F		<1%	469	$60.00
1160F		<1%	312	$60.00
1126F		<1%	308	$60.00
G8484	Influenza immunization was not administered, reason not given	<1%	47	$30.00
36415	Collection of venous blood by venipuncture	<1%	112	$27.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	284	$21.00
G8783	Normal blood pressure reading documented, follow-up not required	<1%	182	$21.00
1159F		<1%	106	$20.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	392	$20.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	131	$10.50
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	162	$10.00
A4556	Electrodes, (e.g., apnea monitor), per pair	<1%	82	$9.71
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	<1%	13	$0.10
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	12	$0.01
1036F		<1%	375	$0.01
G9227	Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter	<1%	43	$0.01
G9899	Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed	0%	39	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	33	$0.00
3078F		0%	43	$0.00
99429		0%	456	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	46	$0.00
3008F		0%	21	$0.00
99000		0%	82	$0.00
3074F		0%	28	$0.00
3017F		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.