Physician
Soma Medical Center, PA 2
Soma Medical Center, PA 2 was paid $10.21M by Medicaid between Dec 2018 and Dec 2024, across 91 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSOMA MEDICAL CENTER, PA 2
PALM SPRINGS, FL 33461
PALM SPRINGS, FL 33461
33aNPI1881990802assigned 02/09/2011
33bProvider typePediatrics Physician
28Total paid$10.21M
24GClaims274,450
24DCodes billed91
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#20 of 971
Median peer was paid$238K
This provider vs. median43×
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 | 1,054 | $19K | |
| 2019 | 16,315 | $712K | |
| 2020 | 29,645 | $1.02M | |
| 2021 | 51,080 | $1.52M | |
| 2022 | 76,916 | $2.20M | |
| 2023 | 62,751 | $3.38M | |
| 2024incomplete | 36,689 | $1.35M |
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 | 37% | 58,597 | 42,099 | $3.75M |
| 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 | 26% | 26,264 | 21,043 | $2.69M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.9% | 18,160 | 15,477 | $809K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 6,585 | 5,947 | $743K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 5,423 | 4,629 | $589K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 4,071 | 3,658 | $430K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 13,639 | 11,439 | $296K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 2,445 | 2,246 | $294K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 3,248 | 2,960 | $88K |
| 99381 | <1% | 772 | 705 | $62K | |
| 97803 | <1% | 8,797 | 7,436 | $60K | |
| 97802 | <1% | 10,125 | 7,137 | $46K |
79 more codes
| 90461 | <1% | 5,830 | $44K | |
| 99383 | <1% | 312 | $37K | |
| 99051 | <1% | 5,856 | $29K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,571 | $29K |
| H0049 | Alcohol and/or drug screening | <1% | 2,832 | $18K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 116 | $18K |
| 92558 | <1% | 5,036 | $18K | |
| 99401 | <1% | 1,427 | $17K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 508 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,003 | $14K |
| 99382 | <1% | 123 | $13K | |
| 96160 | <1% | 4,970 | $12K | |
| 99384 | <1% | 114 | $11K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 1,208 | $8K |
| 99188 | <1% | 593 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,989 | $6K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,630 | $6K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,974 | $5K |
| 83655 | <1% | 849 | $4K | |
| 90700 | <1% | 3,609 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 507 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $3K |
| 90686 | <1% | 2,782 | $2K | |
| 99050 | <1% | 656 | $2K | |
| 90648 | <1% | 3,030 | $2K | |
| 94664 | <1% | 472 | $2K | |
| 90633 | <1% | 2,137 | $1K | |
| 90670 | <1% | 3,331 | $1K | |
| 96127 | <1% | 2,798 | $921.47 | |
| 90744 | <1% | 1,485 | $916.89 | |
| 0001A | <1% | 71 | $880.00 | |
| 90707 | <1% | 959 | $879.83 | |
| 85018 | <1% | 931 | $866.54 | |
| 90716 | <1% | 959 | $843.24 | |
| 0002A | <1% | 66 | $760.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 7,521 | $741.90 |
| 90671 | <1% | 498 | $682.49 | |
| 92567 | <1% | 259 | $597.76 | |
| 90713 | <1% | 2,455 | $582.64 | |
| 99354 | <1% | 249 | $533.04 | |
| 0072A | <1% | 72 | $480.00 | |
| 0071A | <1% | 50 | $480.00 | |
| 90651 | <1% | 825 | $343.51 | |
| 96161 | <1% | 819 | $269.11 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 9,694 | $250.44 |
| 90473 | <1% | 56 | $159.84 | |
| 90698 | <1% | 87 | $109.52 | |
| 69210 | <1% | 22 | $101.74 | |
| 99177 | <1% | 6,816 | $75.00 | |
| 1111F | <1% | 2,059 | $57.39 | |
| 90680 | <1% | 2,075 | $55.72 | |
| 90685 | <1% | 71 | $37.44 | |
| 99173 | <1% | 4,007 | $6.31 | |
| 90660 | <1% | 14 | $0.04 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,194 | $0.00 |
| 90696 | 0% | 53 | $0.00 | |
| 36416 | 0% | 935 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,081 | $0.00 |
| 91307 | 0% | 183 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 713 | $0.00 |
| 90620 | 0% | 149 | $0.00 | |
| 90656 | 0% | 263 | $0.00 | |
| 90697 | 0% | 817 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 366 | $0.00 |
| 99402 | 0% | 60 | $0.00 | |
| 90677 | 0% | 504 | $0.00 | |
| 90723 | 0% | 79 | $0.00 | |
| 90674 | 0% | 93 | $0.00 | |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 634 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 529 | $0.00 |
| 90710 | 0% | 536 | $0.00 | |
| 90715 | 0% | 119 | $0.00 | |
| 90681 | 0% | 634 | $0.00 | |
| 90734 | 0% | 400 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 367 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 18 | $0.00 |
| 90672 | 0% | 53 | $0.00 | |
| 91300 | 0% | 124 | $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 officialALOMI, PAOLA (OFFICE)