Alberto Souza, PLLC

Alberto Souza, PLLC was paid $290K by Medicaid between Apr 2020 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoALBERTO SOUZA, PLLC
SAINT GEORGE, UT 84770

33aNPI1972141588assigned 12/13/2019

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$290K

24GClaims4,193

24DCodes billed9

24AFirst – last monthApr 2020 – Nov 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Utah

Rank by total paid#1 of 21

Median peer was paid$20K

This provider vs. median15×

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	226	$17K
2021	359	$11K
2022	980	$45K
2023	1,339	$90K
2024incomplete	1,289	$127K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	36%	1,494	1,239	$104K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	33%	907	400	$96K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	14%	268	106	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.5%	508	438	$27K
99205	Prolong outpt/office vis	4.1%	130	110	$12K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	2.4%	799	619	$7K
99417	Prolong home eval add 15m	<1%	42	13	$3K
80305		<1%	13	13	$142.08
96127		<1%	32	28	$72.64

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 officialSOUZA, ALBERTO (PSYCHIATRIC NURSE PRACTITIONER)