MARK SOTTO, PT

NPI 1730661059, individual, Voorhees, NJ, Physical Therapist

Evidence tier

informational

score 30 of 100, rank 11597, $120K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	MARK SOTTO, PT
Type	Individual
Status	Active
NPI issued	September 4, 2018, last updated August 23, 2021
Practice location	2601 E EVESHAM RD, Voorhees, NJ 08043, 856-596-1113
Mailing address	22 CAMERON CIR, Laurel Springs, NJ 08021-4861
Specialties	Physical Therapist (225100000X, primary, license 40QA01782400 NJ)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$139K	83%	$85	$76 (top 5% from $314)	56th percentile
97161	Evaluation for physical therapy, typically 20 minutes	$15K	9%	$133	$51 (top 5% from $132)	95th percentile
97162	Evaluation for physical therapy, typically 30 minutes	$13K	8%	$135	$48 (top 5% from $145)	94th percentile
97140	Therapy procedure using manual technique, each 15 minutes	$542	0%	$45	$47 (top 5% from $120)	too few months to rank
97164	Re-evaluation for physical therapy, typically 20 minutes	$239	0%	$9.21	$36 (top 5% from $102)	too few months to rank
97010	Medicaid service code	$166	0%	$0.34	$7.53 (top 5% from $79)	31st percentile

Medicare Part B 2024, largest codes

code	what it is	services	beneficiaries	paid	submitted per service	allowed per service	charge to allowed	usual for this code
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	829	82	$16K	$75	$25	3.0x	2.9x (90th percentile 4.8x)
97161	Evaluation for physical therapy, typically 20 minutes	32	32	$3K	$214	$106	2.0x	1.7x (90th percentile 2.9x)
97164	Re-evaluation for physical therapy, typically 20 minutes	33	27	$2K	$149	$74	2.0x	1.6x (90th percentile 2.7x)
97162	Evaluation for physical therapy, typically 30 minutes	22	21	$2K	$214	$106	2.0x	1.7x (90th percentile 2.9x)
97112	Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	35	11	$845	$82	$31	2.7x	2.5x (90th percentile 4.2x)
97140	Therapy procedure using manual technique, each 15 minutes	22	13	$358	$70	$21	3.4x	3.2x (90th percentile 5.0x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

10 providers in Camden County, NJ carry an indicator in the public record, with $2.0M at stake between them. The most common is paid after a public list action, on 4 of them, followed by part of a provider network on 3. 3 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	GOLDIS GERIATRICS P.C. Stratford, NJ, ranked 274	$12K	Listed on the Medicare revocation list since June 25, 2020. Medicaid still paid claims in 13 later months, $12,047 in total.
1	RICHARD COSTA Berlin, NJ, ranked 338	$4K	Listed on the Medicare revocation list since July 20, 2022. Medicaid still paid claims in 1 later month, $3,802 in total.
1	MICHAEL GOLDIS Stratford, NJ, ranked 353	$3K	Listed on the Medicare revocation list since June 25, 2020. Medicaid still paid claims in 4 later months, $2,781 in total.
3	JEFFHOME NJ, LLC. Voorhees, NJ, ranked 2405	$0	Part of provider network D1-00127, ranked 127 nationally.
3	HOLY REDEEMER HOSPICE INC. Runnemede, NJ, ranked 3252	$0	Part of provider network D1-00127, ranked 127 nationally.
3	HOLY REDEEMER HOME CARE, INC. Runnemede, NJ, ranked 6701	$0	Part of provider network D1-00127, ranked 127 nationally.
4	ISIAKA BOLARINWA Gloucester City, NJ, ranked 8791	$1.7M	Hours beyond a day in 9 months, but with up to 1244 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
5	STEPHEN COHEN Camden, NJ, ranked 10359	$251K	Medicaid dollars per patient on code 99308 ($232 per patient-month) sit in the top 5% of every provider billing that code.

All 10 in NJ

Recent enforcement in NJ

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedJul 29, 2026

Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and Kickbacks

DiDonato allegedly conspired to defraud Medicare by billing for unnecessary and duplicative diagnostic eye tests and paid kickbacks and bribes to ophthalmologists disguised as consulting fees for patient referrals, while Campus Eye received a declination after self-disclosing and agreed to pay back $1 million to victims.

DOJIndictedJul 29, 2026

Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal Kickbacks

DiDonato allegedly paid kickbacks disguised as consulting fees to ophthalmologists for patient referrals and billed Medicare approximately $3.4 million for duplicative or unnecessary diagnostic tests performed at his optometry practice and eye surgery center.

DOJChargedJul 9, 2026

Six Individuals, Including a Pharmacist and Doctor, Charged in Connection with $20 Million Healthcare Fraud and Kickback Scheme

A pharmacy owner paid cash kickbacks to a doctor, advanced practice nurses, and an office manager in exchange for medically unnecessary prescriptions for high-reimbursement medications billed to Medicare and Medicaid.

DOJPleaded guiltyJun 24, 2026

Cape May County Psychiatrist Admits to 17 Felony Counts for Unlawful Controlled Substance Prescriptions Linked to Sexual Conduct, Risk of Death, and Serious Bodily Injury

A psychiatrist issued invalid prescriptions for Adderall, Vyvanse, and Xanax to 17 patients outside the usual course of professional practice, with intent to defraud and mislead the dispensing pharmacies and the insurers, government benefits programs, and other third parties who paid for the drugs, sometimes in exchange for sexual activities, images, or videos.

DOJSentencedMay 21, 2026

New Jersey Physical Therapist Sentenced to 12 Months in Prison for Health Care Fraud Scheme Targeting Amtrak

Kim, a licensed physical therapist, allowed her license and business bank accounts to be used to bill Amtrak's health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds.

Referral packet

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