ISMAEL SOSA, MD
Hospitalist Physician · LIVE OAK, TX
Individual Active NPI 1689868267
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,150 | 7,133 | $1,075,580 | $615,242 | $478,886 |
| 2023 | 1,144 | 5,629 | $920,085 | $539,751 | $428,123 |
| 2022 | 659 | 2,638 | $464,280 | $260,156 | $203,709 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 2,365 | $122 | $87 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 665 | $113 | $90 |
| 99497 | Advance care planning, first 30 minutes | 501 | $78 | $57 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 497 | $18 | $18 |
| G0444 | Annual depression screening, 5 to 15 minutes | 469 | $18 | $18 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 455 | $124 | $124 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 428 | $60 | $47 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 239 | $0 | $0 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 206 | $24 | $24 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 167 | $24 | $24 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 149 | $87 | $66 |
| 81002 | Urinalysis, manual test | 140 | $3 | $3 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ✓ | N7970 | TX |
| Internal Medicine Physician | 207R00000X | N7970 | TX |
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.