DR. Maria J. Fragoulis, INC
DR. Maria J. Fragoulis, INC was paid $1.74M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 42% of everything it billed.
33Billing provider infoDR. MARIA J. FRAGOULIS, INC
LEWIS CENTER, OH 43035
LEWIS CENTER, OH 43035
33aNPI1679700389assigned 06/20/2009
33bProvider typeOptometrist
28Total paid$1.74M
24GClaims73,384
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#10 of 1,098
Median peer was paid$41K
This provider vs. median42×
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 | 15,719 | $276K | |
| 2019 | 14,226 | $314K | |
| 2020 | 4,812 | $120K | |
| 2021 | 7,168 | $172K | |
| 2022 | 9,487 | $246K | |
| 2023 | 11,184 | $275K | |
| 2024incomplete | 10,788 | $336K |
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 | 42% | 15,687 | 15,528 | $727K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 37% | 14,288 | 14,105 | $643K |
| 92015 | Determination of refractive state | 12% | 29,674 | 29,289 | $210K |
| 92250 | 9.2% | 4,602 | 4,378 | $159K | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,630 | 1,619 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 370 | 368 | $0.00 |
| 1036F | 0% | 3,649 | 3,621 | $0.00 | |
| 3072F | 0% | 202 | 202 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 19 | 19 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,874 | 2,855 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 171 | 171 | $0.00 |
| 4004F | 0% | 80 | 79 | $0.00 |
1 more codes
| G9905 | Patient not screened for tobacco use | 0% | 138 | $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 officialFRAGOULIS, MARIA (OPTOMETRIST, OWNER)