Varughese, Siby
Varughese, Siby was paid $19K by Medicaid between Dec 2018 and Mar 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 46% of everything it billed.
33Billing provider infoVARUGHESE, SIBY
MIRAMAR, FL 33027
MIRAMAR, FL 33027
33aNPI1235270380assigned 02/10/2007
33bProvider typeOptometrist
28Total paid$19K
24GClaims1,281
24DCodes billed8
24AFirst – last monthDec 2018 – Mar 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#493 of 941
Median peer was paid$21K
This provider vs. median0.9×
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 | 94 | $2K | |
| 2019 | 403 | $10K | |
| 2020 | 235 | $4K | |
| 2021 | 200 | $640.76 | |
| 2022 | 218 | $230.00 | |
| 2023 | 118 | $1K | |
| 2024incomplete | 13 | $60.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 46% | 154 | 152 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 39% | 122 | 116 | $7K |
| V2020 | Frames, purchases | 11% | 481 | 439 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.3% | 152 | 134 | $435.00 |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 32 | 25 | $119.36 |
| 92015 | Determination of refractive state | <1% | 259 | 244 | $83.70 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 65 | 60 | $0.00 |
| 92342 | 0% | 16 | 16 | $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.