Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HAWKEYE EXACT SD 1 PLLC

NPI: 1013756899 · VERMILLION, SD 57069 · Optometrist · NPI assigned 05/22/2024

$12K
Total Medicaid Paid
251
Total Claims
232
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWIERTZEMA, THOMAS (COO)
NPI Enumeration Date05/22/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 251 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 47 47 $5K
V2020 Frames, purchases 52 47 $3K
V2199 Not otherwise classified, single vision lens 42 38 $3K
92015 Determination of refractive state 110 100 $1K