Delano, Sophia

Delano, Sophia was paid $86K by Medicaid between Jun 2018 and Mar 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoDELANO, SOPHIA
BOSTON, MA 02115

33aNPI1881980365assigned 06/23/2011

33bProvider typePediatric Dermatology Physician

28Total paid$86K

24GClaims1,071

24DCodes billed4

24AFirst – last monthJun 2018 – Mar 2023

Compared with peers

Next to other Pediatric Dermatology Physician providers in Massachusetts

Rank by total paid#1 of 9

Median peer was paid$10K

This provider vs. median8.4×

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	152	$10K
2019	294	$20K
2020	180	$11K
2021	203	$15K
2022	191	$24K
2023	51	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	44%	629	618	$38K
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	44%	308	306	$38K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	104	104	$9K
99451		<1%	30	30	$846.00

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.