Soto Sola, Jose

Soto Sola, Jose was paid $10K by Medicaid between Jan 2020 and Dec 2023, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 93% of everything it billed.

33Billing provider infoSOTO SOLA, JOSE
CAGUAS, PR 00725

33aNPI1922084045assigned 12/20/2005

33bProvider typePediatric Pulmonology Physician

28Total paid$10K

24GClaims153

24DCodes billed3

24AFirst – last monthJan 2020 – Dec 2023

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Puerto Rico

Rank by total paid#10 of 12

Median peer was paid$23K

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
2020	36	$676.77
2022	30	$1K
2023	87	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	93%	103	100	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.9%	20	13	$665.92
94760		<1%	30	25	$28.40

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.