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    OpenPayerNPI Medicare & MedicaidSovi Joseph
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    Sovi Joseph — Billing Profile & Reimbursement Data

    NPI 1376626937 · Port Charlotte, FL · Gastroenterology Physician

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    Sovi Joseph is a gastroenterology physician provider located in Port Charlotte, Florida. This profile covers 22 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSovi Joseph
    Address3440 Tamiami Trl
    CityPort Charlotte
    StateFL
    ZIP33952
    TaxonomyGastroenterology Physician
    NPI EnumeratedOctober 24, 2006

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

    Payer SourceTotal Paid
    Medicare$156K
    Medicaid$4.3K

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…480$70$32.2K
    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…220$100$20.8K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…40$300$10.4K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…120$90$10.3K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…30$350$9K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.80$90$7.3K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…50$140$7.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…160$40$6.7K
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$350$6.7K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk40$180$6.3K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851,0121,14060$300$31K
    9921412,31332,760140$90$25K
    453801,0151,16050$200$18.7K
    432398181,26080$130$16.8K
    G010538570030$280$14.6K
    992133,13430,01080$60$12K
    4324911730020$300$10.9K
    G012116764020$280$10K
    91110617020$460$9.8K
    43259348030$220$8.7K

    Showing 1–10 of 22

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$50$4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$10$190

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,4861,500470$30$87.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…9451,460190$70$58.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eileen De GrandisFLVascular Surgery Physician$252.5K$0
    Porur SomasundaramFLClinical Cardiac Electrophysiology Physician$225.7K$0
    Anthony KamILNeuroradiology Physician$72.8K$148.3K
    Aaron WohlFLEmergency Medicine Physician$169.6K$0
    Paul DigiorgiFLThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$159.1K$0
    Stephen HuberSCThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$99.1K$0
    Elias QuintosFLThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$38.5K$0
    Mohi MitiekOHThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$38K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Leslie TarFLRheumatology Physician$3.2M$0
    Daniel DosoretzFLRadiation Oncology Physician$2.8M$0
    David RiceFLRadiation Oncology Physician$1.5M$0
    Ricardo MartinezFLInterventional Cardiology Physician$1.3M$0
    Sidney PeykarFLClinical Cardiac Electrophysiology Physician$1.1M$0
    Hiren PatelFLCardiovascular Disease Physician$984K$0
    Surgery Center Of Port Charlotte LtdFLAmbulatory Surgical Clinic/Center$929.6K$11.5K
    David HotchkissFLCardiovascular Disease Physician$683.5K$0
    St. Lucy's Outpatient Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$662.3K$0
    Manuel HernandezFLDermatology Physician$656K$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. Florida Distribution
    Sovi Joseph — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Sovi Joseph — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida