Hermann, Sophia

Hermann, Sophia was paid $58K by Medicaid between Nov 2018 and Jun 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.

33Billing provider infoHERMANN, SOPHIA
HOLYOKE, MA 01040

33aNPI1801189303assigned 05/17/2011

33bProvider typeGeneral Practice Physician

28Total paid$58K

24GClaims1,217

24DCodes billed5

24AFirst – last monthNov 2018 – Jun 2020

Compared with peers

Next to other General Practice Physician providers in Massachusetts

Rank by total paid#19 of 33

Median peer was paid$76K

This provider vs. median0.8×

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	65	$4K
2019	991	$46K
2020	161	$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	84%	849	839	$49K
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	7.4%	51	51	$4K
99051		7.1%	247	244	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.1%	55	53	$649.55
81003		<1%	15	14	$34.65

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.