Dr. Helen Sohn, MD - Surgery in La Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Helen Sohn, MD is a certified Surgery practicing in La Mesa, CA. With approximately 27 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1999, Dr. Sohn delivers high-quality medical care to the local community at 5565 GROSSMONT CENTER DR.

Dr. Sohn maintains professional affiliations with Grossmont Surgical Associates Inc, Emergency And Acute Care Medical Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5565 Grossmont Center Dr
Ste 221

La Mesa, CA 919423020

Telephone 6194628100

Fax 6194627933

Associated Practice Facility / Clinic

🏢 William L. Wilson, M.d., Inc. Facility NPI 1568424687

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in La Mesa, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -12.6 yrs vs City Avg

City Avg: 39.6 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

9 Specialists

Practicing in La Mesa, CA (3346 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sohn (27 Years) 27 Yrs

La Mesa Specialty Average (39.6 Years) 39.6 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$228.00	$118.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$344.64	$176.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	38	$305.24	$176.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	16	$146.29	$80.41
19301 Partial removal of breast	17	16	$1682.15	$668.28
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$153.04	$97.13
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$906.82	$225.79
38900 Lymph node imaging during surgery	11	11	$250.00	$134.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$228.00	$119.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$344.64	$176.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$305.24	$179.33
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$153.04	$96.91
19301 Partial removal of breast	15	15	$1682.15	$679.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$124.00	$61.47
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$906.82	$246.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$351.00	$134.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$228.00	$120.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$344.64	$179.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$300.00	$206.37
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$153.04	$98.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$124.00	$61.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$151.00	$74.23
19301 Partial removal of breast	13	13	$1682.15	$690.09
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	11	11	$3186.40	$1584.51
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$906.82	$233.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	56	$328.67	$209.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$228.00	$121.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	21	$144.76	$75.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$344.64	$180.34
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$155.17	$99.04
47562 Removal of gallbladder using an endoscope	15	15	$1387.10	$670.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$124.00	$61.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$228.00	$115.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	50	$339.81	$212.91
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$153.57	$80.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	17	$150.35	$76.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$351.00	$144.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$344.74	$175.67
47562 Removal of gallbladder using an endoscope	13	13	$1787.98	$692.36
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$831.61	$262.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$228.00	$113.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	22	$82.35	$40.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	46	$240.94	$140.09
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$154.00	$78.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$454.80	$207.58
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$179.88	$103.17
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$104.00	$80.62
47562 Removal of gallbladder using an endoscope	12	12	$1909.00	$672.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$228.00	$108.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	27	$83.64	$39.13
99221 Initial hospital inpatient care per day, typically 30 minutes	38	37	$175.00	$100.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$252.16	$136.13
99213 Established patient office or other outpatient visit, typically 15 minutes	27	22	$154.00	$74.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$227.34	$111.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	21	$81.86	$39.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$261.89	$136.24
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$153.33	$75.82
99221 Initial hospital inpatient care per day, typically 30 minutes	26	25	$178.19	$102.53
47562 Removal of gallbladder using an endoscope	20	20	$2041.05	$644.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$415.23	$200.84
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2309.17	$716.34

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A87722

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 208942

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A877220 (CA)

Commercial Insurance / Payer ID Blue Shield Provider Number

00A877220 (CA)

Hospital & Practice Group Affiliations

Emergency And Acute Care Medical Corporation

5555 Grossmont Ctr Dr, La Mesa, CA 919423019

Phone: 6197406000

Grossmont Surgical Associates Inc

5565 Grossmont Ctr Dr, La Mesa, CA 919423022

Phone: 6194628100

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Hong-Der Lin , MD

Surgery

NPI 1174539035

Doctor of Medicine (M.D.)

Dr. Carl Orr , MD

Surgery

NPI 1730195694

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 July 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2011

Registered at 5565 GROSSMONT CENTER DR, STE 221, LA MESA, CA 919423020 (Tel: 6194628100)

📍

Updated Business Mailing Address July 07, 2011

Registered at 5565 GROSSMONT CENTER DR, STE 221, LA MESA, CA 919423020 (Tel: 6194628100)

👤

Provider Name / Credentials Updated July 07, 2011

Recorded as HELEN SOHN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2011

Surgery (License #A87722 in CA)

🟢

Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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Dr. Helen J Sohn , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Additional State Medicaid & Healthcare Payer Identifiers

Hospital & Practice Group Affiliations

Emergency And Acute Care Medical Corporation

Grossmont Surgical Associates Inc

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address