Sommers, Keith

Sommers, Keith was paid $1K by Medicaid between Jan 2018 and Aug 2022, across 2 billing codes. Its largest line is 99395, Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years — 75% of everything it billed.

33Billing provider infoSOMMERS, KEITH
SMITHTOWN, NY 11787

33aNPI1821193939assigned 09/13/2006

33bProvider typeGynecology Physician

28Total paid$1K

24GClaims198

24DCodes billed2

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Gynecology Physician providers in New York

Rank by total paid#72 of 93

Median peer was paid$10K

This provider vs. median0.1×

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	116	$187.58
2019	28	$48.10
2020	41	$69.49
2022	13	$921.24

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	75%	13	13	$921.24
81002		25%	185	182	$305.17

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.