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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSantos Soberon
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    Santos Soberon — Billing Profile & Reimbursement Data

    NPI 1275540395 · Beaumont, TX · Geriatric Medicine (Internal Medicine) Physician

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    Santos Soberon is a geriatric medicine (internal medicine) physician provider located in Beaumont, Texas. This profile covers 62 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSantos Soberon
    Address755 N 11th St
    CityBeaumont
    StateTX
    ZIP77702
    TaxonomyGeriatric Medicine (Internal Medicine) Physician
    NPI EnumeratedAugust 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$351.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    62 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,200$80$96.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit330$120$40.6K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…350$80$26.9K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…200$130$25.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.1,070$10$13.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…270$50$12.2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,200$10$12K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,190$10$9.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,110$10$8.9K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…290$30$8.5K

    Showing 1–10 of 62

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 62 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    62 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8397011224040$40$31.2K
    9948724026050$100$28.8K
    80307307460170$60$23.7K
    933061,7631,900210$90$23.1K
    8750216620020$90$21.1K
    9921446432,500110$80$17.6K
    994905691,520180$40$16.2K
    82306971,01050$30$15.8K
    844431141,69070$20$12.9K
    8440314933040$30$11.8K

    Showing 1–10 of 62

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Santos Soberon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Msonthi LevineTXInternal Medicine Physician$670.2K$132.5K
    Jeremy HuffTXInternal Medicine Physician$654K$0
    Mustafa MusaTXInternal Medicine Physician$322.4K$0
    Waqar AhmadTXInternal Medicine Physician$212.4K$0
    Girishkumar KansaraTXInternal Medicine Physician$78K$0
    Alicia HornTXFamily Nurse Practitioner$57.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Santos Soberon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christus Health Southeast TexasTXGeneral Acute Care Hospital$0$21M
    Accutox, Inc.TXClinical Medical Laboratory$1.2M$298K
    Robert HoodTXEndocrinology, Diabetes & Metabolism Physician$1.2M$0
    Winnie Community Hospital, LLCTXAmbulatory Surgical Clinic/Center$835.6K$191.5K
    Beaumont Asc, LPTXAmbulatory Surgical Clinic/Center$1M$0
    Endoscopy Center Of Southeast Texas LPTXAmbulatory Surgical Clinic/Center$955K$0
    Apryl MensahTXRadiation Oncology Physician$916.7K$0
    Rodolfo SotolongoTXCardiovascular Disease Physician$802.2K$0
    Mark FasuloTXCardiovascular Disease Physician$763.4K$0
    Spinetech Surgery Center LLCTXAmbulatory Surgical Clinic/Center$730.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Santos Soberon — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas