Claflin Eye Care, PLLC
Claflin Eye Care, PLLC was paid $425K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoCLAFLIN EYE CARE, PLLC
CANON CITY, CO 81212
CANON CITY, CO 81212
33aNPI1154600195assigned 08/09/2011
33bProvider typeOptometrist
28Total paid$425K
24GClaims20,297
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#109 of 425
Median peer was paid$49K
This provider vs. median8.6×
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 | 3,344 | $65K | |
| 2019 | 3,334 | $69K | |
| 2020 | 1,989 | $42K | |
| 2021 | 3,393 | $77K | |
| 2022 | 2,913 | $64K | |
| 2023 | 2,946 | $57K | |
| 2024incomplete | 2,378 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 33% | 1,651 | 1,539 | $139K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 916 | 850 | $99K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 22% | 1,444 | 642 | $95K |
| V2020 | Frames, purchases | 7.5% | 999 | 850 | $32K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.8% | 967 | 816 | $20K |
| 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 | 4.1% | 261 | 213 | $18K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.0% | 988 | 841 | $17K |
| 92015 | Determination of refractive state | <1% | 2,915 | 2,717 | $3K |
| 92250 | <1% | 27 | 25 | $1K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 24 | 13 | $645.12 |
| 1036F | 0% | 3,095 | 2,817 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 32 | 31 | $0.00 |
4 more codes
| G8785 | Blood pressure reading not documented, reason not given | 0% | 824 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,903 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,515 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 736 | $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 officialCLAFLIN, SEAN (OWNER/OPTOMETRIST)