EDGAR SOTOMAYOR, M.D.
Anatomic Pathology & Clinical Pathology Physician · BUTLER, PA
Individual Active NPI 1639284268
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 554 | 1,612 | $105,654 | $48,403 | $37,004 |
| 2023 | 473 | 1,582 | $104,596 | $46,712 | $36,331 |
| 2022 | 440 | 1,451 | $105,421 | $45,091 | $34,985 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 615 | $34 | $25 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 413 | $26 | $21 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 131 | $32 | $26 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 107 | $11 | $9 |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 70 | $36 | $26 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 60 | $26 | $20 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 51 | $11 | $8 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 45 | $11 | $9 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 22 | $75 | $60 |
| 85060 | Blood smear interpretation by physician with written report | 21 | $22 | $18 |
| 85097 | Bone marrow, smear interpretation | 20 | $45 | $36 |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 11 | $4 | $3 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ✓ | MD427950 | PA |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 23479 | NE |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.