Dr. Sophia Lee, MD - Surgery in Lorton, VA

Professional Overview & Biography Verified Profile Summary

Dr. Sophia Lee, MD is a certified Surgery practicing in Lorton, VA. With approximately 28 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1998, Dr. Lee delivers high-quality medical care to the local community at 8988 LORTON STATION BLVD, SUITE 202.

Dr. Lee is affiliated with Loudoun Medical Group, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8988 Lorton Station Blvd, Suite 202

Lorton, VA 220794758

Telephone 7033722280

Fax 7033722024

Associated Practice Facility / Clinic

🏢 Loudoun Medical Group, Pc Facility NPI 1962871392

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lorton, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs Matches City Avg

City Avg: 28.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Lorton, VA (909 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (28 Years) 28 Yrs

Lorton Specialty Average (28.0 Years) 28.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$395.00	$181.89
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$165.00	$101.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$395.00	$187.36
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$151.43	$95.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$395.00	$190.54
99213 Established patient office or other outpatient visit, typically 15 minutes	27	20	$150.00	$100.70
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	11	11	$3290.36	$1862.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$395.00	$194.62
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$138.75	$106.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$369.35	$190.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$472.54	$167.22
99213 Established patient office or other outpatient visit, typically 15 minutes	33	25	$215.00	$74.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$318.00	$105.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$318.00	$109.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	12	$388.00	$137.65
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2091.00	$734.20
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	11	11	$56.00	$18.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$489.00	$163.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	17	$207.00	$72.36
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$215.00	$71.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$318.00	$107.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$388.00	$135.80
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$2091.00	$698.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$318.00	$100.53
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	16	16	$56.00	$18.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$168.00	$43.53
49650 Repair of groin hernia using an endoscope	12	12	$1460.00	$438.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$489.00	$161.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	40	$168.00	$42.92
99213 Established patient office or other outpatient visit, typically 15 minutes	47	38	$215.00	$71.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$318.00	$103.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$318.00	$105.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$388.00	$135.11
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2091.00	$713.80

Medical Specialties & State Licenses

CMS Verified: 2023-10-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101102658

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 4301087204

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

30015941430001 (VA)

Commercial Insurance / Payer ID Group Ptan

C06115 (VA)

Commercial Insurance / Payer ID Group Ptan

C06695 (VA)

Hospital & Practice Group Affiliations

Loudoun Medical Group, Pc

8988 Lorton Station Blvd, Lorton, VA 220794758

Phone: 7033722280

Secondary Practice Locations

8262 Atlee Rd, Mob Iii, Suite 205

Mechanicsville, VA 231161816

Phone: 8045590194

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Divya Bansal , PA-C

Physician Assistant

NPI 1407295215

Physician Assistant (Certified)

Dr. George Gillian , MD

Surgery

NPI 1508832627

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 06, 2023

Registered at 8988 LORTON STATION BLVD, SUITE 202, LORTON, VA 220794758 (Tel: 7033722280)

📍

Updated Business Mailing Address October 06, 2023

Registered at 224-D CORNWALL ST NW, SUITE 403, LEESBURG, VA 201761816 (Tel: 7037376010)

✅

NPI Profile Active February 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2011

Registered at 8262 ATLEE RD, MOB III, SUITE 205, MECHANICSVILLE, VA 231161816 (Tel: 8045590194)

📍

Updated Business Mailing Address February 09, 2011

Registered at 8262 ATLEE RD, MOB III, SUITE 205, MECHANICSVILLE, VA 231161816 (Tel: 8045590194)

👤

Provider Name / Credentials Updated February 09, 2011

Recorded as SOPHIA LEE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2011

Surgery (License #0101102658 in VA)

🟢

Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

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Dr. Sophia D Lee , MD