Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Patrick Soto (NPI 1821145509)

Field	Value
Entity Type	Individual
Organization	Patrick Soto
Address	601 W 5th Ave Ste 500
City	Spokane
State	WA
ZIP	99204
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	January 4, 2007

Payer Source	Total Paid
Medicare	$92.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	280	$100	$28.8K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	200	$70	$13.2K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	60	$210	$11.6K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	100	$90	$8.8K
62321	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…	110	$70	$7.8K
64633	In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	30	$150	$4.6K
64494	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…	80	$50	$4.1K
64490	The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…	50	$80	$3.9K
64636	In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	40	$60	$2.7K
64484	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…	50	$40	$1.8K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Patrick Soto — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64635	27	90	30	$400	$21.2K
64483	12	160	50	$200	$19.7K
99214	10,771	10,860	100	$80	$13.6K
64493	22	120	50	$190	$13.5K
64633	14	40	20	$420	$13.3K
62323	6	130	40	$150	$10.2K
64490	18	60	30	$200	$8.7K
99213	8,712	9,690	60	$60	$6.5K
62321	5	70	20	$170	$6.1K
64636	18	70	20	$120	$4.1K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Orthopaedic Specialists, P.s.	WA	Ambulatory Surgical Clinic/Center	$4.1M	$252.1K
Alexander Reichard	WA	Adult Reconstructive Orthopaedic Surgery Physician	$199K	$0
Tiffany Forquer	WA	Physician Assistant	$195K	$0
Brett Mulawka	WA	Orthopaedic Surgery Physician	$155.9K	$0
Matthew Wallace	WA	Orthopaedic Surgery Physician	$134.4K	$0
Anthony Sestero	WA	Orthopaedic Hand Surgery Physician	$129.7K	$0
Michael Kody	WA	Orthopaedic Surgery Physician	$127.9K	$0
David Baca	WA	Medical Physician Assistant	$110.2K	$0
John Shuster	WA	Orthopaedic Surgery of the Spine Physician	$101.4K	$0
Paul Horn	WA	Orthopaedic Hand Surgery Physician	$94K	$0

Patrick Soto — Billing Profile & Reimbursement Data

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Patrick Soto — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References