Thomas a Margius, Od, PC
Thomas a Margius, Od, PC was paid $301K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92015, Determination of refractive state — 33% of everything it billed.
33Billing provider infoTHOMAS A MARGIUS, OD, PC
MILFORD, CT 06460
MILFORD, CT 06460
33aNPI1992006340assigned 11/16/2010
33bProvider typeOptometrist
28Total paid$301K
24GClaims10,719
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#123 of 340
Median peer was paid$125K
This provider vs. median2.4×
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 | 2,838 | $68K | |
| 2019 | 2,858 | $68K | |
| 2020 | 1,314 | $40K | |
| 2021 | 1,131 | $37K | |
| 2022 | 771 | $25K | |
| 2023 | 1,146 | $40K | |
| 2024incomplete | 661 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 33% | 3,406 | 2,833 | $100K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 1,690 | 1,634 | $59K |
| V2020 | Frames, purchases | 19% | 1,981 | 1,906 | $56K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.9% | 509 | 484 | $24K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.7% | 1,121 | 1,079 | $23K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.6% | 572 | 546 | $17K |
| 92341 | 3.2% | 420 | 399 | $10K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.7% | 206 | 192 | $8K |
| 92250 | 1.0% | 241 | 234 | $3K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 25 | 25 | $737.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 14 | 14 | $29.36 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 534 | 518 | $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 officialMARGIUS, THOMAS (PRESIDENT)