Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sowash Optometry Group PC

Sowash Optometry Group PC was paid $3.84M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.

33Billing provider infoSOWASH OPTOMETRY GROUP PC
LAKEWOOD, CO 80226
33aNPI1336172055assigned 07/08/2006
33bProvider typeOptometrist
28Total paid$3.84M
24GClaims79,007
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Colorado

Rank by total paid#23 of 425
Median peer was paid$49K
This provider vs. median78×

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 MCDONALD, DOLSIE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20185,701$348K
20196,917$426K
20207,453$421K
202112,445$712K
202211,578$630K
202324,299$687K
2024incomplete10,614$618K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 56% 36,055 32,501 $2.15M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 40% 25,844 22,191 $1.55M
92250 1.9% 2,301 2,138 $74K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 590 556 $21K
V2020 Frames, purchases <1% 593 559 $17K
92310 <1% 850 809 $15K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 601 563 $8K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 560 526 $6K
92015 Determination of refractive state <1% 11,613 9,057 $3K

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 officialMCDONALD, DOLSIE (MANAGER OF NETWORK MANAGEMENT)
Same official

Other billing entities under MCDONALD, DOLSIE

Full network →
ProviderLocationPaid
Empire Vision Center INCTroy, NY$1.42M
Empire Vision Center INCColonie, NY$1.32M
TN Doctors of Optometry, PLLCMurfreesboro, TN$669K
Empire Vision Center INCNorwich, NY$626K
Empire Vision Center INCTonawanda, NY$511K
TN Doctors of Optometry, PLLCClarksville, TN$493K
TN Doctors of Optometry, PLLCKnoxville, TN$479K
TN Doctors of Optometry, PLLCSmyrna, TN$472K
TN Doctors of Optometry, PLLCMadison, TN$441K
TN Doctors of Optometry, PLLCAntioch, TN$360K
TN Doctors of Optometry, PLLCMemphis, TN$328K
TN Doctors of Optometry, PLLCKingsport, TN$280K
Empire Vision Center, INCKew Gardens, NY$266K
TN Doctors of Optometry, PLLCNashville, TN$245K
TN Doctors of Optometry, PLLCKnoxville, TN$243K
TN Doctors of Optometry, PLLCJohnson City, TN$233K
TN Doctors of Optometry, PLLCHendersonville, TN$224K
TN Doctors of Optometry, PLLCCookeville, TN$220K
TN Doctors of Optometry, PLLCMt Juliet, TN$205K
TN Doctors of Optometry, PLLCJackson, TN$174K

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