Broadway Vision Source, Incorporated
Broadway Vision Source, Incorporated was paid $2K by Medicaid between Aug 2020 and Mar 2021, across 2 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.
33Billing provider infoBROADWAY VISION SOURCE, INCORPORATED
EAGLE GROVE, IA 50533
EAGLE GROVE, IA 50533
33aNPI1710456249assigned 11/14/2018
33bProvider typeOptometrist
28Total paid$2K
24GClaims35
24DCodes billed2
24AFirst – last monthAug 2020 – Mar 2021
Compared with peers
Next to other Optometrist providers in Iowa
Rank by total paid#428 of 521
Median peer was paid$28K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 19 | $1K | |
| 2021 | 16 | $997.37 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 52% | 19 | 15 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 48% | 16 | 12 | $997.37 |
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 officialHAUCK, BRANDON (OWNER)
Parent organizationBROADWAY VISION SOURCE, INCORPORATED