EDGARDO SOTO DE LA ROSA, M.D.
Pulmonary Disease Physician · PORT CHARLOTTE, FL
Individual Active NPI 1801030408
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,407 | 3,858 | $636,489 | $429,453 | $332,463 |
| 2023 | 1,706 | 5,529 | $836,674 | $590,825 | $452,772 |
| 2022 | 1,676 | 5,298 | $805,025 | $550,374 | $420,314 |
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 | 836 | $130 | $98 |
| 99291 | Critical care, first 30-74 minutes | 570 | $219 | $175 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 291 | $46 | $37 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 241 | $91 | $63 |
| 94729 | Test to examine how well the lungs exchange gases | 232 | $55 | $42 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 232 | $44 | $34 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 230 | $121 | $97 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 165 | $80 | $63 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 151 | $170 | $134 |
| 94010 | Test to measure expiratory airflow and volume | 132 | $27 | $21 |
| 94664 | Evaluation of use of breathing device | 109 | $18 | $14 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 101 | $38 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 115041 | FL |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 115041 | FL |
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.