Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Bedford › NPI 1093926438

Jim I Sowders Od PC

Jim I Sowders Od PC was paid $45K by Medicaid between Jan 2018 and Feb 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 72% of everything it billed.

33Billing provider infoJIM I SOWDERS OD PC
BEDFORD, IN 47421
33aNPI1093926438assigned 05/25/2007
33bProvider typeOptometrist
28Total paid$45K
24GClaims1,162
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Optometrist providers in Indiana

Rank by total paid#311 of 743
Median peer was paid$22K
This provider vs. median2.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201883$3K
2019276$10K
2020286$12K
2021203$8K
2022188$7K
202385$3K
2024incomplete41$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 72% 410 391 $32K
92015 Determination of refractive state 19% 576 560 $9K
V2020 Frames, purchases 4.1% 65 63 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.5% 64 54 $2K
92250 1.5% 47 38 $673.54

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 officialSOWDERS, JIM (PRESIDENT)