Physician
Sosa, Gustavo
Sosa, Gustavo was paid $13K by Medicaid between Apr 2020 and Jun 2023, across 10 billing codes. Its largest line is 3008F, — 34% of everything it billed.
33Billing provider infoSOSA, GUSTAVO
CLERMONT, FL 34711
CLERMONT, FL 34711
33aNPI1942438932assigned 06/29/2009
33bProvider typeFamily Medicine Physician
28Total paid$13K
24GClaims770
24DCodes billed10
24AFirst – last monthApr 2020 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#504 of 996
Median peer was paid$13K
This provider vs. median1.0×
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 | 489 | $9K | |
| 2023 | 281 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 3008F | 34% | 233 | 179 | $4K | |
| 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% | 71 | 64 | $3K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 16% | 33 | 32 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 44 | 44 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.7% | 31 | 30 | $857.23 |
| 36415 | Collection of venous blood by venipuncture | 2.4% | 39 | 36 | $303.72 |
| 3074F | 1.6% | 116 | 106 | $204.06 | |
| 3078F | <1% | 101 | 80 | $44.19 | |
| 3079F | 0% | 72 | 49 | $0.00 | |
| 3725F | 0% | 30 | 30 | $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.