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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIsmael Sosa
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    Ismael Sosa — Billing Profile & Reimbursement Data

    NPI 1689868267 · Live Oak, TX · Hospitalist Physician

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    Ismael Sosa is a hospitalist physician provider located in Live Oak, Texas. This profile covers 19 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
    OrganizationIsmael Sosa
    Address12414 Judson Rd
    CityLive Oak
    StateTX
    ZIP78233
    TaxonomyHospitalist Physician
    NPI EnumeratedAugust 28, 2007

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

    Payer SourceTotal Paid
    Medicare$422.3K
    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.

    19 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…2,110$90$194.2K
    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…820$90$76.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit330$130$41.1K
    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…380$60$23.2K
    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…140$130$18.2K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…80$160$12.2K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…110$90$10.2K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes360$30$9.1K
    99204The provider sees a new 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 provider…90$100$8.9K
    G0442Annual alcohol misuse screening, 5 to 15 minutes360$20$6.6K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992333099,320100$90$17.9K
    992147632,500110$80$17.6K
    9923210,04511,790100$60$15.8K
    G04392027,11060$120$10.6K
    992231,3699,99040$130$9.5K
    9921326,12829,79070$60$8.4K
    992391,2804,20070$90$7.8K
    9949661295020$190$6.1K
    992042,44316,38030$110$5.6K
    99497562,40040$60$4.8K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sridhar BeeramTXHematology & Oncology Physician$1.8M$0
    Nhue HoTXHospitalist Physician$1.8M$0
    Musaab ZaidTXInternal Medicine Physician$1.2M$0
    Mathew WehbeIAMedical Oncology Physician$1M$0
    Kishore RasamalluGAInternal Medicine Physician$1M$0
    Michael WeisbruchFLInternal Medicine Physician$991.6K$0
    Randolph Torres RamosTXInternal Medicine Physician$840.6K$0
    James MyattTXCardiovascular Disease Physician$770K$0
    Rosemary CastorenoTXInternal Medicine Physician$698.5K$0
    Vijay KorimilliTXInternal Medicine Physician$695.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Disease Detection LLCTXClinical Medical Laboratory$10.8K$24.8M
    Laboratory Corporation Of AmericaTXClinical Medical Laboratory$11.6K$11.7M
    Jean-denis BoucherTXProcedural Dermatology Physician$2.2M$0
    Pradeep MohanTXPlastic and Reconstructive Surgery Physician$1.9M$0
    Wendall BaumanTXSpecialist$1.6M$0
    Rohit KapoorTXHematology & Oncology Physician$1.2M$0
    Gcsa Ambulatory Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$1M$0
    Navneet MittalTXHematology & Oncology Physician$715.4K$0
    Derinbhai PatelTXInternal Medicine Physician$666.3K$0
    John CanalesTXInterventional Cardiology Physician$362.4K$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
    Ismael Sosa — 8 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas