Sunset Eye Care P.C.
Sunset Eye Care P.C. was paid $215K by Medicaid between Apr 2018 and Dec 2024, across 9 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 35% of everything it billed.
33Billing provider infoSUNSET EYE CARE P.C.
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
33aNPI1548462013assigned 06/05/2007
33bProvider typeOptometrist
28Total paid$215K
24GClaims5,089
24DCodes billed9
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#218 of 1,408
Median peer was paid$30K
This provider vs. median7.1×
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
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 | 13 | $335.16 | |
| 2019 | 39 | $1K | |
| 2020 | 103 | $4K | |
| 2021 | 1,383 | $57K | |
| 2022 | 1,453 | $62K | |
| 2023 | 1,446 | $62K | |
| 2024incomplete | 652 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 35% | 1,121 | 1,066 | $76K |
| V2020 | Frames, purchases | 35% | 2,301 | 2,183 | $74K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 12% | 404 | 389 | $26K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 819 | 781 | $24K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.5% | 207 | 185 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.2% | 81 | 77 | $3K |
| 92015 | Determination of refractive state | <1% | 128 | 127 | $2K |
| 92310 | <1% | 16 | 15 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12 | 12 | $910.45 |
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 officialHOLLE, DOUGLAS (PRESIDENT)