Clinic
Sol Surgery
Sol Surgery was paid $283K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 45% of everything it billed.
33Billing provider infoSOL SURGERY
COTO LAUREL, PR 00780
COTO LAUREL, PR 00780
33aNPI1841429982assigned 07/10/2009
33bProvider typeMedical Specialty Clinic/Center
28Total paid$283K
24GClaims5,279
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#15 of 54
Median peer was paid$61K
This provider vs. median4.6×
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 | 539 | $10K | |
| 2019 | 1,006 | $12K | |
| 2020 | 458 | $18K | |
| 2021 | 822 | $73K | |
| 2022 | 773 | $90K | |
| 2023 | 829 | $67K | |
| 2024incomplete | 852 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 45% | 1,747 | 1,497 | $129K |
| 99205 | Prolong outpt/office vis | 35% | 953 | 779 | $99K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.8% | 1,147 | 407 | $28K |
| 99243 | 6.9% | 796 | 659 | $19K | |
| 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 | 1.9% | 100 | 99 | $5K |
| 99253 | <1% | 68 | 67 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 32 | 28 | $635.48 |
| 99241 | <1% | 15 | 15 | $396.37 | |
| 1159F | 0% | 146 | 138 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 27 | 27 | $0.00 |
| 1036F | 0% | 169 | 161 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 13 | 12 | $0.00 |
1 more codes
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 66 | $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 officialORTIZ, SABATO (CEO)