Kim, Soo
Kim, Soo was paid $3K by Medicaid between Jan 2018 and Apr 2019, across 1 billing code. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 100% of everything it billed.
33Billing provider infoKIM, SOO
CHANTILLY, VA 20152
CHANTILLY, VA 20152
33aNPI1932318219assigned 05/22/2007
33bProvider typeOptometrist
28Total paid$3K
24GClaims50
24DCodes billed1
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#366 of 491
Median peer was paid$23K
This provider vs. median0.1×
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 | 38 | $3K | |
| 2019 | 12 | $790.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 100% | 50 | 50 | $3K |
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.