Fort Lupton Vision Center PC
Fort Lupton Vision Center PC was paid $29K by Medicaid between Feb 2018 and Nov 2024, across 7 billing codes. Its largest line is V2020, Frames, purchases — 29% of everything it billed.
33Billing provider infoFORT LUPTON VISION CENTER PC
FORT LUPTON, CO 80621
FORT LUPTON, CO 80621
33aNPI1558544833assigned 12/10/2007
33bProvider typeOptometrist
28Total paid$29K
24GClaims1,286
24DCodes billed7
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#251 of 425
Median peer was paid$49K
This provider vs. median0.6×
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 | 87 | $3K | |
| 2019 | 144 | $1K | |
| 2020 | 103 | $892.75 | |
| 2021 | 232 | $3K | |
| 2022 | 101 | $2K | |
| 2023 | 351 | $10K | |
| 2024incomplete | 268 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 29% | 184 | 166 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 57 | 56 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 59 | 56 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 15% | 157 | 138 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.8% | 145 | 126 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.1% | 12 | 12 | $1K |
| 92015 | Determination of refractive state | 1.7% | 672 | 633 | $490.97 |
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 officialSIMONSON, DAVID (PRESIDENT)