Active NPI 1902107840 Individual Practitioner Female Practitioner

Soumya Pai

Surgery • Fresno, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Soumya Pai is a certified Surgery practicing in Fresno, CA. With approximately 27 years of clinical experience since completing medical education in 1999, Soumya Pai delivers high-quality medical care to the local community at 1105 E SPRUCE AVE.

Soumya Pai is affiliated with Enloe Specialty Physicians, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, repair of wound by transferring skin, 30.1-60.0 sq cm, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1105 E Spruce Ave
Suite 201

Fresno, CA 937203313

Telephone 5594507200

Fax 5594507214

Associated Practice Facility / Clinic

🏢 Robin L. Reisz, Dds. A Professional Corporation. Facility NPI 1962447557

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fresno, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +3.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

73 Specialists

Practicing in Fresno, CA (3346 Statewide)

Telehealth Adoption Rate

23.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pai (27 Years) 27 Yrs

Fresno Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	111	$217.00	$96.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	81	63	$354.95	$141.17
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	39	37	$1944.00	$848.67
19301 Partial removal of breast	37	35	$1465.54	$336.92
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$148.30	$65.49
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	29	24	$70.00	$30.70
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	21	19	$37.00	$16.31
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$974.00	$215.32
38900 Lymph node imaging during surgery	14	14	$292.00	$128.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$402.00	$178.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	124	$224.68	$99.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	137	99	$350.66	$145.63
19301 Partial removal of breast	62	55	$1429.56	$356.63
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	59	53	$1922.25	$859.87
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	49	31	$65.96	$31.73
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$149.48	$66.98
38900 Lymph node imaging during surgery	29	29	$294.00	$131.84
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	29	$975.00	$244.79
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	29	17	$474.00	$215.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	71	$328.73	$148.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	60	$221.00	$99.90
19301 Partial removal of breast	55	48	$1472.00	$388.31
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	49	45	$1946.00	$859.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$411.00	$186.17
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	28	16	$477.00	$216.48
38900 Lymph node imaging during surgery	24	24	$301.00	$136.00
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	24	24	$984.00	$222.97
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$150.00	$68.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$303.00	$137.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	131	44	$459.00	$220.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	72	72	$398.00	$189.25
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	66	54	$1865.00	$841.46
19301 Partial removal of breast	60	52	$1408.00	$378.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	53	$214.00	$102.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	34	$317.00	$147.02
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$145.00	$69.17
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	28	$944.00	$234.49
38900 Lymph node imaging during surgery	26	26	$288.00	$133.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$293.00	$139.32
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	18	15	$134.00	$13.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$78.00	$36.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$395.00	$175.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	12	$179.00	$74.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$342.00	$139.38
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$189.00	$77.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	32	$179.00	$73.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	62	$504.00	$205.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	22	$97.00	$39.68
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$189.00	$75.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$260.00	$168.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$342.00	$138.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	46	$179.00	$68.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	64	$504.00	$199.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	26	$97.00	$39.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	24	$258.00	$106.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$325.00	$211.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$260.00	$168.62

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A118125

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Enloe Specialty Physicians, Inc

265 Cohasset Rd, Chico, CA 959262273

Phone: 5303323808

Enloe Specialty Physicians, Inc

1531 Esplanade, Chico, CA 959263310

Phone: 5303327300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Arnold Escarcega , PA-C

Physician Assistant

NPI 1124020706

Physician Assistant (Certified)

Kanwaldip Bains , FNP

Nurse Practitioner

NPI 1316623317

Family Nurse Practitioner

Dr. James Svoboda , MD

Surgery

NPI 1457692055

Doctor of Medicine (M.D.)

Dr. Deepa Sharma , MD

Colon & Rectal Surgery

NPI 1689866493

Doctor of Medicine (M.D.)

Dr. James Bruce , MD

Colon & Rectal Surgery

NPI 1699859454

Doctor of Medicine (M.D.)

Dr. Praneetha Narahari , MD

Surgery

NPI 1740253228

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 12, 2016

Registered at 1105 E SPRUCE AVE, SUITE 201, FRESNO, CA 937203313 (Tel: 5594507200)

📍

Updated Business Mailing Address December 12, 2016

Registered at 1105 E SPRUCE AVE, SUITE 201, FRESNO, CA 937203313 (Tel: 5594507200)

👤

Provider Name / Credentials Updated December 12, 2016

Recorded as SOUMYA PAI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2016

Surgery (License #A118125 in CA)

🟢

Initial NPI Registration & Enumeration November 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902107840

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 09, 2010

Last Update: December 12, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1105 E Spruce Ave, Suite 201

Fresno, CA 937203313

Phone: 5594507200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.