Physician
Tsai, Nancy
Tsai, Nancy was paid $1.37M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 14% of everything it billed.
33Billing provider infoTSAI, NANCY
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1184732885assigned 08/25/2006
33bProvider typeOphthalmology Physician
28Total paid$1.37M
24GClaims72,929
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#82 of 1,085
Median peer was paid$34K
This provider vs. median41×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,739 | $113K | |
| 2019 | 11,428 | $165K | |
| 2020 | 7,980 | $136K | |
| 2021 | 14,222 | $274K | |
| 2022 | 13,907 | $289K | |
| 2023 | 13,424 | $263K | |
| 2024incomplete | 3,229 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 4,615 | 4,587 | $199K |
| 92083 | 13% | 8,235 | 8,176 | $176K | |
| 92020 | 9.4% | 11,072 | 10,969 | $129K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 3,495 | 3,459 | $122K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.0% | 3,421 | 3,377 | $110K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.2% | 1,549 | 1,534 | $85K |
| 92133 | 5.9% | 6,087 | 6,040 | $80K | |
| 92134 | 4.4% | 4,837 | 4,797 | $61K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 3,672 | 3,591 | $57K |
| 66761 | 3.6% | 554 | 521 | $49K | |
| 92250 | 3.5% | 3,137 | 3,123 | $49K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.2% | 990 | 986 | $44K |
22 more codes
| 92226 | 3.1% | 2,895 | $42K | |
| 92202 | 2.6% | 6,091 | $35K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 1.8% | 196 | $25K |
| 76514 | 1.7% | 6,244 | $23K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 763 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 215 | $13K |
| 92225 | <1% | 838 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 107 | $8K |
| 92002 | <1% | 210 | $8K | |
| 92201 | <1% | 467 | $6K | |
| 92015 | Determination of refractive state | <1% | 801 | $6K |
| 92286 | <1% | 370 | $3K | |
| 76519 | <1% | 199 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 126 | $2K |
| 68840 | <1% | 13 | $777.12 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 15 | $215.50 |
| V2020 | Frames, purchases | <1% | 17 | $205.50 |
| 2023F | <1% | 1,083 | $152.29 | |
| 76512 | <1% | 18 | $139.84 | |
| 2024F | <1% | 31 | $1.70 | |
| 2022F | 0% | 553 | $0.00 | |
| 3072F | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.