Sowash Optometry Group PC

Sowash Optometry Group PC was paid $759K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 31% of everything it billed.

33Billing provider infoSOWASH OPTOMETRY GROUP PC
GRAND JUNCTION, CO 81505

33aNPI1326083130assigned 06/17/2006

33bProvider typeEyewear Supplier

28Total paid$759K

24GClaims24,618

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Eyewear Supplier providers in Colorado

Rank by total paid#4 of 41

Median peer was paid$74K

This provider vs. median10×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SOWASH, TOM controls 13+ related entities in our dataset. Read more

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	2,519	$61K
2019	3,134	$74K
2020	2,720	$59K
2021	4,020	$84K
2022	3,418	$86K
2023	4,419	$173K
2024incomplete	4,388	$223K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	31%	5,636	3,783	$235K
V2020	Frames, purchases	30%	5,726	3,903	$225K
V2784	Lens, polycarbonate or equal, any index, per lens	14%	4,645	3,067	$107K
92340	Fitting of spectacles, except for aphakia; monofocal	12%	5,432	3,658	$91K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	8.1%	1,889	866	$61K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	5.0%	1,078	666	$38K
V2750	Anti-reflective coating, per lens	<1%	81	60	$899.10
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	<1%	45	31	$428.86
92015	Determination of refractive state	<1%	74	48	$415.06
V2799	Vision item or service, miscellaneous	0%	12	12	$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 officialSOWASH, TOM (OWNER)

Same official

Other billing entities under SOWASH, TOM

Full network →

Provider	Location	Paid
Sowash Optometry Group PC	Greeley, CO	$646K
Sowash Optometry Group PC	Aurora, CO	$638K
Sowash Optometry Group PC	Pueblo, CO	$518K
Sowash Optometry Group PC	Denver, CO	$319K
Sowash Optometry Group PC	Fort Collins, CO	$267K
Sowash Optometry Group PC	Lakewood, CO	$267K
Sowash Optometry Group PC	Colorado Springs, CO	$183K
Sowash Optometry Group PC	Colorado Springs, CO	$74K
Sowash Optometry Group PC	Littleton, CO	$72K
Sowash Optometry Group PC	Lakewood, CO	$33K
Sowash Optometry Group, P.C.	Lone Tree, CO	$6K
Sowash Optometry Group PC	Denver, CO	$2K
Sowash Optometry Group, P.C.	Castle Rock, CO	$998.27

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.