NP / PA
Soberano, Pamela
Soberano, Pamela was paid $75K by Medicaid between Aug 2018 and Oct 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoSOBERANO, PAMELA
WEST DUNDEE, IL 60118
WEST DUNDEE, IL 60118
33aNPI1962891648assigned 01/18/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$75K
24GClaims1,688
24DCodes billed11
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#915 of 3,353
Median peer was paid$25K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 13 | $0.00 | |
| 2022 | 622 | $25K | |
| 2023 | 786 | $34K | |
| 2024incomplete | 267 | $16K |
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 | 38% | 619 | 579 | $29K |
| 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 | 28% | 264 | 240 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 7.8% | 376 | 350 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.6% | 140 | 136 | $5K |
| 87428 | 6.4% | 76 | 75 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.9% | 143 | 139 | $4K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.5% | 13 | 13 | $2K |
| 0240U | 2.5% | 13 | 13 | $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 | 1.5% | 15 | 15 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 16 | 16 | $716.55 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 13 | 13 | $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.