Siu, Sophia

Siu, Sophia was paid $5.06M by Medicaid between May 2018 and Nov 2024, across 33 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 20% of everything it billed.

33Billing provider infoSIU, SOPHIA
BROOKLYN, NY 11220

33aNPI1508132564assigned 03/23/2012

33bProvider typeOphthalmology Physician

28Total paid$5.06M

24GClaims97,787

24DCodes billed33

24AFirst – last monthMay 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#15 of 1,085

Median peer was paid$34K

This provider vs. median149×

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	14	$246.46
2019	1,202	$34K
2020	4,727	$265K
2021	14,648	$837K
2022	22,173	$1.17M
2023	29,705	$1.47M
2024incomplete	25,318	$1.28M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	20%	7,253	7,208	$1.02M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	9,118	8,490	$763K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	15%	8,488	8,351	$739K
92083		8.3%	8,849	8,662	$418K
92250		7.2%	11,729	11,664	$362K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	6.3%	2,370	2,361	$316K
76511		5.0%	4,334	2,168	$255K
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	4.9%	2,741	2,674	$248K
92134		3.0%	6,149	6,080	$151K
92133		2.8%	5,317	5,285	$141K
92015	Determination of refractive state	2.5%	8,592	8,480	$128K
66761		2.4%	772	513	$123K

21 more codes

92020		2.3%	6,481	$119K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.6%	1,113	$79K
92202		1.0%	5,600	$51K
92025		<1%	1,805	$47K
76514		<1%	3,801	$32K
68761		<1%	178	$13K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	45	$10K
92136		<1%	574	$10K
92285		<1%	416	$7K
2023F		<1%	669	$5K
67820		<1%	416	$4K
92132		<1%	173	$3K
92225		<1%	244	$2K
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 single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	287	$2K
99203	Doctor's office visit, new patient (routine)	<1%	15	$2K
2022F		<1%	128	$809.67
92060		<1%	13	$749.40
92226		<1%	65	$469.50
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	16	$437.43
76519		<1%	18	$271.84
99024		0%	18	$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.