Boomtown Vision PLLC
Boomtown Vision PLLC was paid $35K by Medicaid between Nov 2020 and Mar 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoBOOMTOWN VISION PLLC
BURKBURNETT, TX 76354
BURKBURNETT, TX 76354
33aNPI1720447071assigned 02/15/2016
33bProvider typeOptometrist
28Total paid$35K
24GClaims1,772
24DCodes billed9
24AFirst – last monthNov 2020 – Mar 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#666 of 1,408
Median peer was paid$30K
This provider vs. median1.2×
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 | 109 | $2K | |
| 2021 | 604 | $13K | |
| 2022 | 965 | $19K | |
| 2023 | 82 | $1K | |
| 2024incomplete | 12 | $131.58 |
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 | 29% | 180 | 160 | $10K |
| V2020 | Frames, purchases | 28% | 524 | 455 | $10K |
| 92015 | Determination of refractive state | 13% | 482 | 428 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 10% | 194 | 170 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.4% | 218 | 124 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.5% | 116 | 98 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.4% | 31 | 27 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.4% | 15 | 12 | $846.12 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.6% | 12 | 12 | $565.14 |
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 officialSOLOMONS, SARAH (OD/OWNER)