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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDarya Soto
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    Darya Soto — Billing Profile & Reimbursement Data

    NPI 1982656013 · Novato, CA · Pulmonary Disease Physician

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    Darya Soto is a pulmonary disease physician provider located in Novato, California. 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
    OrganizationDarya Soto
    Address100 Rowland Way, Ste 300
    CityNovato
    StateCA
    ZIP94945
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMay 17, 2006

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

    Payer SourceTotal Paid
    Medicare$402.7K
    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
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…140$610$85.3K
    94660The provider initiates continuous positive airway pressure ventilation, or CPAP, typically for a patient with sleep apnea, or periodic cessation of breathing while asleep. He trains the patient on…990$60$57.5K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.80$660$52.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…300$160$48.3K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.530$60$31.4K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…520$50$28K
    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…200$110$22.5K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…520$40$19.6K
    G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation200$90$16.7K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.660$20$14.5K

    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
    94626310360$70$34.3K
    958115724040$420$28.3K
    958102325040$390$25.5K
    9921413,25137,970120$90$23.2K
    992151,15315,36050$130$14.4K
    G0399159050$70$7.6K
    992055,3198,36030$170$7.2K
    9466014050$60$5.3K
    947291665060$30$3.7K
    947261050060$30$3.2K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas SchlesingerCARetina Specialist (Ophthalmology) Physician$4.3M$7.9M
    Stephen MeffertCARetina Specialist (Ophthalmology) Physician$3.2M$5.5M
    Matthew PowersCARetina Specialist (Ophthalmology) Physician$3.7M$4.3M
    Ira SchacharCARetina Specialist (Ophthalmology) Physician$3.9M$4.1M
    Jon KellerCAAnatomic Pathology & Clinical Pathology Physician$6.4M$0
    Edmund TaiCAAnatomic Pathology & Clinical Pathology Physician$3.8M$0
    David KornguthCARadiation Oncology Physician$2.6M$0
    J JumperCARetina Specialist (Ophthalmology) Physician$2.6M$0
    Subhransu RayCARetina Specialist (Ophthalmology) Physician$2.3M$0
    Judy ChenCARetina Specialist (Ophthalmology) Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marin Community ClinicCAFederally Qualified Health Center (FQHC)$0$74.9M
    North Bay Regional Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$555.1K$0
    Tomas KubricanCAFamily Medicine Physician$221.4K$0
    Costco Wholesale CorporationCACommunity/Retail Pharmacy$186K$0
    Mark LawlerCASports Medicine (Orthopaedic Surgery) Physician$172.8K$0
    Anthony GordonCADiagnostic Radiology Physician$161.1K$0
    John SteinCAEmergency Medicine Physician$124.5K$0
    Barry NemrowCAFoot Surgery Podiatrist$88.9K$0
    Mark BazalgetteCAColon & Rectal Surgery Physician$79.3K$1.7K
    Edward Vander CluteCAClinical Social Worker$43.6K$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. California Distribution
    Darya Soto — 6 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California