Fotinos, Sophia
Fotinos, Sophia was paid $82K by Medicaid between Feb 2018 and Aug 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 69% of everything it billed.
33Billing provider infoFOTINOS, SOPHIA
SANDUSKY, OH 44870
SANDUSKY, OH 44870
33aNPI1316385362assigned 06/12/2013
33bProvider typeOptometrist
28Total paid$82K
24GClaims4,214
24DCodes billed4
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#375 of 1,098
Median peer was paid$41K
This provider vs. median2.0×
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 | 66 | $2K | |
| 2020 | 998 | $21K | |
| 2021 | 1,323 | $28K | |
| 2022 | 872 | $18K | |
| 2023 | 695 | $10K | |
| 2024incomplete | 260 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 69% | 1,451 | 1,421 | $57K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 551 | 547 | $23K |
| 92015 | Determination of refractive state | 3.3% | 2,167 | 2,156 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 45 | 45 | $0.00 |
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.