Physician
Sophia Siu M.D. PLLC
Sophia Siu M.D. PLLC was paid $1.58M by Medicaid between Nov 2019 and Oct 2024, across 18 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 26% of everything it billed.
33Billing provider infoSOPHIA SIU M.D. PLLC
BROOKLYN, NY 11220
BROOKLYN, NY 11220
33aNPI1649736570assigned 02/15/2019
33bProvider typeOphthalmology Physician
28Total paid$1.58M
24GClaims24,255
24DCodes billed18
24AFirst – last monthNov 2019 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#72 of 1,085
Median peer was paid$34K
This provider vs. median47×
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 | |
|---|---|---|---|
| 2019 | 89 | $6K | |
| 2020 | 978 | $69K | |
| 2021 | 3,410 | $235K | |
| 2022 | 5,241 | $358K | |
| 2023 | 7,422 | $472K | |
| 2024incomplete | 7,115 | $442K |
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 | 26% | 2,286 | 2,286 | $404K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 2,642 | 2,420 | $251K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 1,847 | 1,841 | $243K |
| 92083 | 9.3% | 2,229 | 2,198 | $148K | |
| 92250 | 8.6% | 3,496 | 3,493 | $136K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.6% | 670 | 669 | $104K |
| 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 | 4.0% | 473 | 461 | $63K |
| 92134 | 3.5% | 1,345 | 1,341 | $56K | |
| 92020 | 3.2% | 1,785 | 1,777 | $50K | |
| 92133 | 3.1% | 1,363 | 1,363 | $49K | |
| 76511 | 1.9% | 916 | 459 | $31K | |
| 92202 | 1.2% | 1,217 | 1,209 | $19K |
6 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 167 | $15K |
| 76514 | <1% | 1,013 | $7K | |
| 92015 | Determination of refractive state | <1% | 2,678 | $4K |
| 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% | 68 | $1K |
| 92025 | <1% | 27 | $951.68 | |
| 92225 | <1% | 33 | $445.94 |
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.
From NPPES
Who's on the registration
Authorized officialSIU, SOPHIA (PHYSICIAN)