Boldan, John
Boldan, John was paid $61K by Medicaid between Sep 2019 and Dec 2024, across 8 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 31% of everything it billed.
33Billing provider infoBOLDAN, JOHN
MT PLEASANT, TX 75455
MT PLEASANT, TX 75455
33aNPI1922257864assigned 09/16/2008
33bProvider typeOptometrist
28Total paid$61K
24GClaims3,184
24DCodes billed8
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#522 of 1,408
Median peer was paid$30K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2019 | 35 | $139.00 | |
| 2020 | 184 | $1K | |
| 2021 | 661 | $9K | |
| 2022 | 499 | $8K | |
| 2023 | 964 | $22K | |
| 2024incomplete | 841 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 31% | 865 | 827 | $19K |
| V2020 | Frames, purchases | 22% | 854 | 839 | $14K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 22% | 519 | 337 | $13K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 21% | 368 | 318 | $13K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.3% | 288 | 283 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 38 | 38 | $77.00 |
| 92015 | Determination of refractive state | 0% | 144 | 132 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 108 | 107 | $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.