Active NPI 1104288547 Individual Practitioner Male Practitioner

Dr. Andrew C Hou , MD

Ophthalmology • Sarasota, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Hou, MD is a certified Ophthalmology practicing in Sarasota, FL. With approximately 10 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 2016, Dr. Hou delivers high-quality medical care to the local community at 3920 BEE RIDGE RD UNIT 101.

Dr. Hou accepts Medicare assignment.

Frequently performed procedures and clinical services include dexamethasone, lacrimal ophthalmic insert, 0.1 mg, established patient outpatient office visit, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3920 Bee Ridge Rd Unit 101

Sarasota, FL 342331207

Telephone 9412268000

Fax 9412631883

Associated Practice Facility / Clinic

🏢 Cc Vision Care Pllc Facility NPI 1609623214

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Sarasota, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -17.3 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

30 Specialists

Practicing in Sarasota, FL (1686 Statewide)

Telehealth Adoption Rate

3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hou (10 Years) 10 Yrs

Sarasota Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1096 Dexamethasone, lacrimal ophthalmic insert, 0.1 mg	378	67	$180.41	$144.72
99213 Established patient office or other outpatient visit, typically 15 minutes	358	200	$180.00	$88.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	198	$256.00	$124.64
92136 Measurement of corneal curvature and depth of eye	121	77	$112.69	$36.71
92134 Imaging of retina	104	96	$102.31	$37.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$337.65	$163.38
68841 Insertion of drug delivery implant into tear duct of eye	99	67	$87.56	$32.69
66984 Removal of cataract with insertion of lens	95	64	$1290.82	$489.45
92286 Imaging of front third of eye using a special microscope	57	57	$167.26	$36.98
92133 Imaging of optic nerve	50	46	$85.60	$31.94
92083 Exam of visual field with extended testing	48	46	$149.04	$59.51
92250 Photography of the retina	48	46	$111.13	$34.70
92020 Examination of cornea and iris using lens device and slit lamp	40	39	$69.00	$26.05
92004 New patient complete exam of visual system	28	28	$295.00	$141.76
92025 Ct scan of cornea	25	22	$99.20	$33.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$120.00	$54.75
92285 Photography of content of eyes	21	16	$90.00	$21.99
66982 Complex removal of cataract with insertion of prosthetic lens	21	19	$1661.33	$663.14
76514 Ultrasound scan of cornea to determine thickness	20	20	$24.00	$10.49
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	18	18	$33.00	$16.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	606	269	$129.68	$88.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	199	$177.57	$125.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	216	216	$241.96	$164.39
J1096 Dexamethasone, lacrimal ophthalmic insert, 0.1 mg	164	26	$147.07	$144.73
92136 Measurement of corneal curvature and depth of eye	161	101	$100.90	$36.91
92134 Imaging of retina	159	145	$80.62	$38.65
66984 Removal of cataract with insertion of lens	124	79	$1087.35	$499.79
92286 Imaging of front third of eye using a special microscope	88	87	$168.00	$37.54
92083 Exam of visual field with extended testing	65	62	$110.00	$59.71
92133 Imaging of optic nerve	63	61	$77.71	$33.35
76514 Ultrasound scan of cornea to determine thickness	63	63	$29.97	$10.77
68841 Insertion of drug delivery implant into tear duct of eye	62	39	$108.90	$16.14
92020 Examination of cornea and iris using lens device and slit lamp	48	47	$56.00	$26.66
68841 Insertion of drug delivery implant into tear duct of eye	41	26	$76.00	$34.37
92250 Photography of the retina	36	35	$88.00	$35.63
68761 Closure of tear duct opening using plug	32	22	$480.50	$193.35
66982 Complex removal of cataract with insertion of prosthetic lens	25	22	$1315.84	$685.21
92025 Ct scan of cornea	22	19	$58.50	$34.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$146.00	$110.92
66821 Removal of recurring cataract in lens capsule using a laser	15	13	$520.13	$321.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	479	241	$101.00	$91.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	199	199	$193.00	$168.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	146	$142.90	$128.28
92136 Measurement of corneal curvature and depth of eye	135	82	$105.00	$42.46
92134 Imaging of retina	100	91	$81.00	$39.48
66984 Removal of cataract with insertion of lens	91	54	$1100.00	$528.27
92286 Imaging of front third of eye using a special microscope	87	87	$168.00	$35.57
68841 Insertion of drug delivery implant into tear duct of eye	85	51	$110.00	$16.21
92250 Photography of the retina	69	69	$92.00	$36.56
76514 Ultrasound scan of cornea to determine thickness	60	58	$32.00	$11.08
92133 Imaging of optic nerve	59	57	$81.00	$34.37
92083 Exam of visual field with extended testing	57	54	$102.00	$61.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$126.00	$113.72
92020 Examination of cornea and iris using lens device and slit lamp	36	36	$56.00	$27.71
66982 Complex removal of cataract with insertion of prosthetic lens	32	23	$1192.00	$698.64
92025 Ct scan of cornea	31	30	$45.00	$35.29
68761 Closure of tear duct opening using plug	17	14	$428.82	$189.33
65430 Scraping of cornea for diagnosis	14	13	$424.00	$119.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	86	$101.73	$91.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	42	$156.07	$123.83
92012 Established patient problem focused exam of visual system	44	35	$102.00	$88.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$193.00	$169.08
92134 Imaging of retina	33	31	$81.55	$39.07
92025 Ct scan of cornea	33	33	$45.00	$35.54
92250 Photography of the retina	32	31	$92.00	$38.11
76514 Ultrasound scan of cornea to determine thickness	27	27	$32.00	$11.14
92136 Measurement of corneal curvature and depth of eye	23	17	$105.00	$51.55
92286 Imaging of front third of eye using a special microscope	22	17	$168.00	$36.10
68761 Closure of tear duct opening using plug	17	14	$460.59	$191.19
66984 Removal of cataract with insertion of lens	17	12	$1100.00	$539.55
92083 Exam of visual field with extended testing	17	17	$104.53	$61.52
92014 Established patient complete exam of visual system	14	14	$154.29	$123.66
92133 Imaging of optic nerve	13	13	$81.00	$33.83
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$56.00	$27.50
92004 New patient complete exam of visual system	11	11	$175.00	$147.92

Medical Specialties & State Licenses

CMS Verified: 2024-12-13

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME147881

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Cornea and External Diseases Specialist

NUCC Taxonomy Code: 207WX0120X

State License FL ME147881

An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Business Mailing Address December 13, 2024

Registered at 3920 BEE RIDGE RD, BLDG D, SUITE A, SARASOTA, FL 342331207 (Tel: 9412268000)

📍

Updated Practice Location May 01, 2024

Registered at 3920 BEE RIDGE RD UNIT 101, SARASOTA, FL 342331207 (Tel: 9412268000)

📍

Updated Business Mailing Address May 01, 2024

Registered at 3920 BEE RIDGE RD UNIT 101, SARASOTA, FL 342331207 (Tel: 9412268000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2024

Ophthalmology (License #ME147881 in FL)

📍

Updated Practice Location May 13, 2020

Registered at 608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 731045014 (Tel: 4052716060)

✅

NPI Profile Active June 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 16, 2016

Registered at 2799 W GRAND BLVD, DETROIT, MI 482022608 (Tel: 3139161601)

📍

Updated Business Mailing Address June 16, 2016

Registered at 2799 W GRAND BLVD, DETROIT, MI 482022608

👤

Provider Name / Credentials Updated June 16, 2016

Recorded as ANDREW HOU, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2016

Internal Medicine (License #5315076741 in MI)

🟢

Initial NPI Registration & Enumeration March 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104288547

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 24, 2016

Last Update: December 13, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3920 Bee Ridge Rd, Bldg D, Suite A

Sarasota, FL 342331207

Phone: 9412268000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.