Sophia K. Fotinos O.D., LLC
Sophia K. Fotinos O.D., LLC was paid $368K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92015, Determination of refractive state — 28% of everything it billed.
33Billing provider infoSOPHIA K. FOTINOS O.D., LLC
LAKEWOOD, OH 44107
LAKEWOOD, OH 44107
33aNPI1578915385assigned 07/05/2016
33bProvider typeOptometrist
28Total paid$368K
24GClaims12,392
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#97 of 1,098
Median peer was paid$41K
This provider vs. median9.0×
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 | 2,790 | $85K | |
| 2019 | 2,385 | $71K | |
| 2020 | 2,218 | $73K | |
| 2021 | 2,570 | $80K | |
| 2022 | 1,081 | $32K | |
| 2023 | 1,025 | $21K | |
| 2024incomplete | 323 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 28% | 6,726 | 6,432 | $104K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 1,451 | 1,420 | $78K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 1,700 | 1,687 | $73K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 900 | 841 | $61K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.8% | 527 | 520 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 392 | 380 | $16K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.9% | 277 | 263 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 14 | $1K |
| 3072F | 0% | 316 | 312 | $0.00 | |
| 2023F | 0% | 88 | 83 | $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.
From NPPES
Who's on the registration
Authorized officialFOTINOS, SOPHIA (DOCTOR OF OPTOMETRY)