Sowa, Marta

Sowa, Marta was paid $58K by Medicaid between Jan 2018 and Mar 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoSOWA, MARTA
LINCOLN, RI 02865

33aNPI1891860029assigned 11/22/2006

33bProvider typePediatrics Physician

28Total paid$58K

24GClaims1,640

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#185 of 265

Median peer was paid$133K

This provider vs. median0.4×

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	431	$20K
2019	341	$10K
2020	399	$8K
2021	358	$16K
2022	111	$4K

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	58%	583	520	$34K
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	27%	223	201	$16K
90460	Immunization administration through 18 years of age via any route, first or only component	8.8%	232	222	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.1%	99	96	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.9%	13	13	$1K
90461		1.5%	28	27	$852.54
90686		<1%	462	233	$241.50

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.