Sowash Optometry Group PC

Sowash Optometry Group PC was paid $319K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is V2020, Frames, purchases — 38% of everything it billed.

33Billing provider infoSOWASH OPTOMETRY GROUP PC
DENVER, CO 80238

33aNPI1427074673assigned 07/14/2006

33bProvider typeEyewear Supplier

28Total paid$319K

24GClaims13,422

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Eyewear Supplier providers in Colorado

Rank by total paid#11 of 41

Median peer was paid$74K

This provider vs. median4.3×

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	2,131	$47K
2019	2,922	$55K
2020	2,016	$34K
2021	2,338	$40K
2022	1,654	$40K
2023	1,534	$58K
2024incomplete	827	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2020	Frames, purchases	38%	3,712	3,349	$123K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	33%	3,548	3,201	$105K
92340	Fitting of spectacles, except for aphakia; monofocal	16%	3,461	3,132	$50K
V2784	Lens, polycarbonate or equal, any index, per lens	13%	2,478	2,192	$40K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	138	113	$763.00
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	71	65	$632.00
V2799	Vision item or service, miscellaneous	0%	14	14	$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	Grand Junction, CO	$759K
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	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.