Sampalis, Maria
Sampalis, Maria was paid $43K by Medicaid between Dec 2018 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
33Billing provider infoSAMPALIS, MARIA
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1740470566assigned 07/27/2007
33bProvider typeOptometrist
28Total paid$43K
24GClaims1,566
24DCodes billed7
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#75 of 209
Median peer was paid$24K
This provider vs. median1.8×
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 | 14 | $373.00 | |
| 2020 | 89 | $3K | |
| 2021 | 320 | $10K | |
| 2022 | 388 | $10K | |
| 2023 | 331 | $9K | |
| 2024incomplete | 424 | $10K |
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 | 31% | 251 | 246 | $13K |
| 92015 | Determination of refractive state | 18% | 311 | 305 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16% | 289 | 284 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 163 | 161 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 262 | 260 | $4K |
| V2020 | Frames, purchases | 9.4% | 263 | 260 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.1% | 27 | 27 | $472.04 |
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.