SOPHIE CAI, MD
Ophthalmology Physician · HIXSON, TN
Individual Active NPI 1275914699
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 252 | 2,690 | $857,802 | $328,195 | $254,356 |
| 2023 | 339 | 3,589 | $1,535,116 | $694,475 | $544,375 |
| 2022 | 339 | 1,269 | $596,145 | $227,346 | $178,301 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 92134 | Imaging of retina | 419 | $40 | $29 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 209 | $92 | $63 |
| J0178 | Injection, aflibercept, 1 mg | 206 | $836 | $657 |
| 67028 | Injection of drug into eye | 133 | $122 | $95 |
| 92004 | New patient complete exam of visual system | 61 | $134 | $104 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 61 | $127 | $88 |
| 76512 | 2d ultrasound scan of eye tissue and structures | 24 | $46 | $30 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 | $154 | $113 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 70249 | TN |
| Ophthalmology Physician | 207W00000X | D91503 | MD | |
| Internal Medicine Physician | 207R00000X | L-263967 | MA | |
| Ophthalmology Physician | 207W00000X | 2019-00606 | NC | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 2019-00606 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.